Complaint Investigation Report

277209241-3-20-2026-24-AS-SMOA-DSGL3S-20260324082425

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

10/22/2025 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20251022085722

On 03/20/2026, Licensing Program Analyst (LPA) V Gorban visited the facility regarding complaint investigation to deliver findings. LPA met with the administrator and explained the purpose of this visit.

During multiple visits of the complaint investigation, LPA conducted a tour of the facility, interior and exterior to ensure there is no potential or immediate health and safety risk at the facility, documents were reviewed, interviews conducted, and information gathered.

Allegation: Facility is unsanitary, Facility is in disrepair, and Lack of staff. Based on observation during facility visits on 10/24/25 and 12/30/25 staff, administrator, and staff interviews revealed the above allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred.

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