Complaint Investigation Report

198601402-5-30-2025-28-AS-DSIS-DLCM69-20250909091929

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

05/23/2025 and conducted by Evaluator Nicol Wesley

COMPLAINT CONTROL NUMBER: 28-AS-20250523133320

Uncleared staff are allowed to provide care and supervision.

Staff are not meeting the minimum qualifications required.

Licensing Program Analyst (LPA) Nicol Wesley conducted an initial 10 day complaint investigation for the allegations listed above. LPA met with Administrator Peggy DeLeon to discuss the purpose for todays visit.

The investigation consisted of the following: LPA Wesley interviewed the administrator, reviewed the staff files #1-#5, received the LIC 500 Personnel Report, checked the current guardian/facility personnel summaries, and the requested a resident roster.

Investigation reveal the following: LPA Wesley reviewed all staff files and compared them to the LIC 500 all staff were cleared, cpr/first aid certified, and took all of the dsp staff met the minimum qualifications to work in a adult residential facility. The administrator Peggy DeLeon said that staff #6 has never worked in this facility.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations occurred, therefore the allegations are Unsubstantiated. A copy of this report was given during the exit interview.