Complaint Investigation Report

306005159-2-25-2026-22-AS-APAO-DRPQ7D-20260227105459

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

02/20/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260220155018

Facility failed to provide medical care after incident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA interviewed staff and client. Regarding the allegation that facility failed to provide medical care after incident, the investigation revealed the following: Client 1 (C1) had an accident and fell of the client's bike around a year ago, date unknown. Client indicated falling off the bike but denied having any injuries. Two out of two staff stated a medical assessment was obtained for the client even though there were no injuries present. Client is frequently seen by Kaiser due to high blood pressure but cannot recall which visit the client was seen for the fall. LPA reviewed multiple trips to Kaiser in the last year but none specified assessment for any injuries. Based on interviews conducted, the department is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.