Complaint Investigation Report

157209146-12-29-2025-24-AS-AWAN-DPVRV3-20251231122052

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

12/19/2025 and conducted by Evaluator Jimmy Duarte

COMPLAINT CONTROL NUMBER: 24-AS-20251219164446

Staff withheld resident’s personal property

On 12/29/25, Licensing Program Analyst (LPA) J. Duarte and Licensing Program Manager (LPM) A. Walton, arrived unannounced to conduct a complaint investigation. LPA introduced self, stated the purpose of the visit. LPA and LPM met with Administrator, Oscar Chavez

The Department has investigated the complaint alleging: Staff withheld resident's personal property. During the course of the investigation, LPA and LPM interviewed the Administrator and reviewed records. LPA and LPM verifed that R1's ID is on file. Based on interviews, it was determined that facility staff will provide R1's ID to R1 when requested. Facility staff will not provide R1's ID to a third party unless the facility receives approval from R1. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficiencies issued during this inspection. Exit interview conducted. A copy of this report was provided to Administrator, Oscar Chavez, whose signature on this form confirms receipt of this document.