Complaint Investigation Report

167209445-7-6-2026-24-AS-SMOA-DVULGK-20260710084448

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

06/26/2026 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20260626140651

On 7/6/25 at 3:00pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Staff (S1) Lisa Ramirea.

The Department conducted interviews with Administrator and staff. It was confirmed that R1's Personal Rights were not met where R1 stated staff did not make R1 feel safe in facility.

Based on observation, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficincies are being cited Per Title 22 Regulations.

Exit interview conducted. A copy of this report with Appeal Rights was distributed to Staff which confirms signature of this report.