Complaint Investigation Report

157209316-1-29-2026-24-AS-AWAN-DRTV9J-20260303151426

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

01/22/2026 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20260122170820

Staff use inappropriate restraints on residents.

Licensing Program Analyst (LPA) L. Xiong conducted the an unannounced complaint investigation visit to the facility. LPA met with administrator J. Lazaga during the visit.

During the course of this complaint investigation LPA interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. The evidence from the investigation indicated that the facility staff did use inappropriate restraint on resident. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”)