Complaint Investigation Report

157204130-3-27-2025-24-AS-SMOA-DG9KVQ-20250501081442

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

03/06/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250306160952

Benched Executive Director Angelina Rodriguez

Staff do not respond to resident's call for assistance in a timely manner

Facility does not have a certified Administrator

On 03/27/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced a subsequent complaint visit and deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Benched Executive Director Angelina Rodriguez. Administrator Douglas Rice was called and unable to reach Administrator.

During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Staff responded to call signal within a timely manner. Fire alarm was tested and observation operational during investigation. Administrator certificate is currently valid.

Based on records reviewed, interviews conducted and observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Benched Executive Director, whose signature on this form confirms receipt of this report.