Complaint Investigation Report

157208910-10-16-2023-24-AS-SMOA-CWYL33-20231026082314

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

10/05/2023 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20231005154829

Staff did not allow resident to attend day program

On 10/16/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. Administrator (A1) Lester Manigque was called and arrived shortly. LPA discussed the finding with A1.

During the course of the investigation, interviews were conducted, and records were reviewed. Interviews were conducted and records reviewed confirms Administrator informed staff to have client 1 (C1) stay home from day program.

Based on records reviewed and interviews which were conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 6 are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator whose signature on this report confirms receipt of this report.