Complaint Investigation Report

157209373-6-12-2024-24-AS-SMOA-D6YVVZ-20240708164710

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

06/03/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240603113122

On 06/11/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation and deliver complaint finding on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Kala Gibson.

During the course of the investigation, the Department conducted interviews, received copies of records, and toured the facility. Based on interviews that were conducted, S1 forces R1 to take showers. Based on interviews conductd, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.