Complaint Investigation Report

157209211-12-18-2025-24-AS-AWAN-DPHSDP-20251219124727

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/12/2025 and conducted by Evaluator Jimmy Duarte

COMPLAINT CONTROL NUMBER: 24-AS-20251212151028

Staff did not reposition resident in care as required.

Staff did not provide adequate meals to resident in care.

Staff did not provide a signal system to resident in care.

Staff did not provide adequate room accommodations to client in care.

Licensing Program Analysts (LPAs) J. Duarte and L. Xiong conducted the 10-day complaint investigation visit to the facility. LPAs met with Administrator Diana Diaz and informed her the purpose of the visit. During the course of this investigation it was discovered that the resident involved in the complaint does not reside at this facility. Therefore, the above allegations are UNFOUNDED.