Complaint Investigation Report
Investigation consisted of the following:
On 05/22/2025, a facility tour was conducted, interviews were conducted, and records were reviewed. The facility tour consisted of R1’s bedroom, garage, kitchen and food supply. Interviews conducted consisted of 3 staff interviews [Staff 1 (S1) to Staff 3 (S3) were interviewed] and 1 resident interview [Resident 1 (R1) was interviewed]. Resident 1’s records were reviewed which consisted of Admission Agreement dated 05/05/2025, Physicians Report dated 05/05/2025, Safeguards for Property Valuables dated 05/05/2025, and other pertinent documents. Facility records were also reviewed such as Register of Facility Residents dated May 2025 and Personnel Report dated 05/22/2025. On 06/17/2025, 3 witnesses were interviewed [Witness 1 (W1) to Witness 3 (W3) were interviewed]. On 06/18/2025, a tour of the kitchen was conducted, food supply was observed, and resident bedrooms were toured.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction