Complaint Investigation Report

198602544-9-26-2022-28-AS-FFIS-CRP234-20230509170139

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

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

09/22/2022 and conducted by Evaluator Kruz Long

COMPLAINT CONTROL NUMBER: 28-AS-20220922103833

Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint investigation at the facility. LPA met with Aaron Eden (Administrator) and explained the purpose of the visit.

During today's visit, LPA obtained a copy of the Staff/Client Rosters, staff statements and interviewed staff #1, #2 to staff #4 in the office.

In regards to the allegation: Staff hit resident. LPA interviewed staff #2 who witnessed staff #3 hit client #1 with a twirled towel on the shoulder, back, stomach and face.

Based on LPA's interviews and staff statement review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit interview conducted with Aaron Eden and a copy of this report and appeal rights provided.