Complaint Investigation Report

Burlington, the, Wofford Heights05/14/2025Licence 157209377

Census20
Date signed05/19/2025 10:29:16 AM
The inspector’s account

157209377-5-19-2025-24-AS-SMOA-DGXRTW-20250523131902

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

05/09/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250509163615

Staff made inappropriate comments towards resident

On 05/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Ashley Bell. LPA discussed the purpose of the visit and delivered complaint findings.

During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. A verbal altercation had occurred between S1 and R1. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Under California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report and appeal rights was provided to the Administrator whose signature confirms received of this report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction