Complaint Investigation Report

198602177-5-19-2022-11-AS-AJKK-CEPPQP-20220523113128

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE DR #100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/18/2022 and conducted by Evaluator Ernand Dabuet

COMPLAINT CONTROL NUMBER: 11-AS-20220518135158

On 05/19/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted a complaint visit to investigate the allegation indicated above. LPA met with Jovanne Anguluan administrator and explained the purpose of the visit.

Based on record review of resident and staff roster, it was determined that (R1) does not reside at this facility. R1 has never been a resident at this facility and has no association with any residents or staff. The individuals named on the SOC 341 are not associated with this facility in any manner.

This agency has investigated the complaint alleging "Personal Rights". We have found that the complaint is unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview held, and a copy of this report was provided to Jovanne Anguluan.