Complaint Investigation Report

270708716-11-10-2025-24-AS-SMOA-DNDLYS-20251113081049

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

10/31/2025 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20251031162259

VISIONARY CARMEL-BY-THE-SEA ASSISTED LIVING

On 11/06/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced initial complaint investigation. LPA explained the purpose of visit to staff Tiera Maxwell and was allowed entry.

During the course of the investigation, LPA conducted a facility tour, interviewed administrator and client, and reviewed records.

The Department has investigated the allegation: Staff not present during night shift. Based on interviews staff confirmed that earlier this year in January no staff member was present in the facility grounds from 7AM to 8AM, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview conducted, repot signed and copy of this report with appeal rights provided to staff for facility records.