Complaint Investigation Report

157208991-3-18-2025-24-AS-SMOA-DF3K7H-20250324073906

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

03/03/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250303162843

Staff are interfering with residents right to select their own health care agency

On 03/18/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Diana Diaz,Program manager.

During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. R1’s physician referred resident for referral and treatment planning for hospice. Based on records reviewed and interviews conducted, there was insufficient evidence to prove that staff interfered with the resident’s rights to select their own health care agency therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Program Manager, whose signature on this form confirms receipt of this report.