Complaint Investigation Report

157209146-12-11-2024-24-AS-SPIY-DDEMVW-20250130085724

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

12/04/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20241204234223

Staff did not provide adequate supervision resulting in resident eloping from facility.

Staff did not file report in a timely manner.

Licensing Program Analyst (LPA) Shawna Doucette (LPA) conducted a visit to commence a complaint investigation. LPA discussed the purpose of the visit and the elements of the allegations with Caregiver/Office Staff Jan Krizia Adajar. Administrator Nancy Cudal gave permission for Caregiver/Office Staff Jan Krizia Adajar to sign for this report.

LPA reviewed and obtained copies of R1's file. Based on interviews and records review R1 can leave facility unassisted per LIC602. Based on records review and interviews, facility reported to Bakersfield Police Department report number 2024-00146406 on 12/3/24.

Based on record reviews and interviews, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.