Complaint Investigation Report

157209373-5-29-2026-24-AS-SMOA-DVSLBM-20260708083659

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

05/21/2026 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20260521094940

Staff did not prevent residents from fighting

On 05/27/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation and deliver complaint findings on the above allegation. LPA met with Administrator Wendy Lee and stated the purpose of the visit.

During the course of the investigation, records were reviewed, facility was toured, and interviews were conducted. Due to the lack of supervision, R2 has wandering behavior and had wandered into R1’s room without supervision leading to a physical altercation where R2 was sent to the hospital for medical treatment.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has not been met, therefore, the above allegation is found to be SUBTANTIATED. Exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.