Complaint Investigation Report

157206793-6-5-2023-24-AS-MHON-CTLNJA-20230710103002

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

05/30/2023 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20230530114813

On 6/5/2023, Licensing Program Analysts (LPAs) M. Medina and M. Flores conducted an unannounced initial 10-day complaint visit. LPAs introduced self and stated purpose of visit. LPAs met with Daniel Esparaza, Supervisor and Blanca Arteaga, Administrator.

During the investigation, LPAs conducted interviews and gathered documentation. Based on the above information, the preponderance of evidence standard has been met. The allegation that facility staff illegally evicted resident is SUBSTANTIATED based on review of eviction letter provided to Department during investigation.

Deficiency cited on the attached 9099 D. Exit interview conducted. Appeal Rights provided.