Complaint Investigation Report

157209377-5-14-2026-24-AS-SMOA-DUBLAP-20260522083529

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

05/07/2026 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20260507113909

Staff do not ensure the facility is free of bed bugs

Staff do not allow resident to leave the facility

Staff do not ensure resident's finances are safeguarded

On 05/14/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation and deliver complaint findings. LPA met with Administrator Carlene Reinke.

During the course of the investigation, the department received copies of records, conducted interviews, and toured the facility. The facility was observed free of bed bugs. R1 confirmed staff allows the resident to leave the facility unassisted and manage own finances. R1 confirms the resident have not borrow any money to staff or to any other residents. Therefore, based on interviews conducted, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBTANTIATED. Exit interview was conducted. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.