Complaint Investigation Report
160403371-12-21-2022-24-AS-MHON-CMCSXQ-20221222131616
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
11/21/2022 and conducted by Evaluator Alexandria Walton
COMPLAINT CONTROL NUMBER: 24-AS-20221121165132
Facility staff left multiple residents unsupervised
On 12/21/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit, and reqeusted to meet with the Administrator. LPA met with Administrator, Margaret Juarez.
During today's investigation, LPA conducted resident interviews.
Based on interviews conducted, the allegation: Facility staff left multiple residents unsupervised is UNSUBSTANTIATED. Although the allegation could have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
No deficencies issued. A copy of this report was discussed and provided to Administrator, Margaret Juarez, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction