Complaint Investigation Report

157209417-11-7-2025-24-AS-AWAN-DNCTB6-20251112133435

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

10/24/2025 and conducted by Evaluator Jimmy Duarte

COMPLAINT CONTROL NUMBER: 24-AS-20251024095250

Facility did not assist resident with medical needs prior to leaving community.

On 11/07/2025, Licensing Program Analysts (LPA) J. Duarte arrived at the facility unannounced to continue the investigation and deliver findings on the above allegations. LPA was greeted by Administrator (AD) Jessica Pelaya and LPA explained the reason for today's visit.

Based on observation and interviews, although the allegations may have happened, there is not a preponderance of evidence to prove that the alleged violations occurred; therefore, the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report was left with the administrator.