Complaint Investigation Report

157209136-6-30-2026-24-AS-SMOA-DVULHL-20260710084632

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

06/25/2026 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20260625154317

Staff did not provide resident's records to resident

Staff does not allow resident access to their belongings

Staff do not ensure resident's room is clean and sanitary

On 6/30/26 at 5:00 pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Adminstrator (A1) Beatriz Ponce.

The Department conducted interviews with staff, and obtained records. LPA attempted to contact RP. RP was not available. LPA left a message via voicemail. RP did not return LPA's call. LPA requested to interview R1 at faclilty. R1 was voluntarily dischared as of 6/2/26.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to Administrator which confirms signature of this report.