Complaint Investigation Report

197608711-4-14-2023-31-AS-NMAN-CRFVED-20230502162210

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

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

04/13/2023 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20230413110851

Facility staff illegally evicted resident

Residents are left unsupervised for a long period of time

Facility staff did not respond to resident’s call for help.

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with Administrator Jecery Ninonuevo and explained the reason for the visit.

LPA conducted physical plant tour at 10:00 AM, requested copy of facility documents relevant to the investigation at 10:30 AM and interviewed administrator at 11:00 AM. LPA's interview with the administrator revealed that the supposed owner mentioned in the complaint has no connection at this facility whatsoever and there was no staff working at this facility also mentioned in the complaint. Based on the information gathered during this visit, the allegations are deemed unfounded at this time. A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. Copy of this report issued.