Complaint Investigation Report

157202789-11-20-2023-24-AS-MHON-CY3QYD-20231130113456

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

10/04/2023 and conducted by Evaluator Malia Thao

COMPLAINT CONTROL NUMBER: 24-AS-20231004142539

On 11/20/23 at 9:32 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint inspection. LPA explained reason for inspection and met with Administrator Victoria Green.

LPA conducted interviews and obtained records. Based on interviews and record review, LPA found that S1 cursed at C1. C1 stated S1 cursed at C1 jokingly and at times was unsure if S1 was joking. S2 stated S2 witnessed S1 curse at C1. S1 denied using inappropriately language with clients in care. The above allegation is substantiated. A deficiency is being cited based on LPA interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC9099D.

Exit interview conducted and a Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were given to Administrator, whose signature confirms receipt of this report.