Complaint Investigation Report

157206907-2-13-2026-24-AS-SMOA-DRDRPQ-20260217121218

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

01/15/2026 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20260115160118

Resident is not receiving medications as prescribed

On 02/12/2026, Licensing Program Analyst (LPA) V Gorban arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit to staff Yvonne Aggasid and was granted entry. Administrator was notified of Licensing visit.

During the course of the investigation, LPA conducted a facility tour and conducted records review and interviews.

This agency has investigated the complaint allegations: Resident is not receiving medications as prescribed

The facility is dirty, and Facility contains bedbugs.

Based on interviews and records review medication administration documented in facility records. Regarding facility is dirty, per observation and records review, facility staff clean rooms daily. Regarding bedbugs, staff treating residents' room with solutions if concern arises. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. No deficiency cited.

Exit interview conducted, report signed and copy of this report provided for facility records.