Complaint Investigation Report

157209373-3-8-2024-24-AS-SMOA-D46U6W-20240409151902

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

02/29/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240229134130

Staff are not treating resident with dignity and respect

Staff did not ensure the facility was free from odors

On 03/08/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA stated the purpose of the visit and met with Administrator Kala Gibson.

During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. R1 confirmed staff did not hit resident with any object and staff did not mistreat resident. LPA toured the facility and observed designated smoking area outdoor. Facility was observed free from odor. Based on observations and interviews which were conducted, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. 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.