Complaint Investigation Report
277209489-8-26-2025-24-AS-SMOA-DLKL3E-20250916082349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2025 and conducted by Evaluator Vadim Gorban
COMPLAINT CONTROL NUMBER: 24-AS-20250821093230
Facility allowed untrained staff to work independently with dementia care residents
Facility does not have a certified administrator on the premises
On 08/25/2025, Licensing Program Analyst (LPA) V Gorban conducted subsequent complaint inspection. LPA met with administrator Nelson Rubio. The purpose of this visit is to deliver the findings of the investigation completed by the Department.
During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility.
Regarding the allegations: Facility allowed untrained staff to work independently with dementia care residents and Facility does not have a certified administrator on the premises. Base on interview and records reviews staff (S1) completed required training to work at the facility with dementia residents and facility provided files of certified administrator. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.
Exit interview was conducted, and a copy of this report provided to administrator for facility records.
No deficiencies were cited during the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction