Complaint Investigation Report

157209256-12-11-2024-24-AS-SPIY-DC5UZ2-20241220150050

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

10/08/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20241008095806

Facility is not safeguard resident’s property

Licensing Program Analyst (LPA) Shawna Doucette (LPA) conducted a visit to deliver findings. LPA discussed the purpose of the visit and the elements of the allegations with Caregiver/Office Staff Jan Krizia Adajar. Administrator Nancy Cudal gave permission for Caregiver/Office Staff Jan Krizia Adajar to sign for this report.

Based on interviews and records review, LPA observed a property list for R1. It is unknown if property was stolen or misplaced.

Based on record reviews and interviews, 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 allegation is UNSUBSTANTIATED.