Complaint Investigation Report

It is unclear if facility staff answered the door when R1 was returned via ambulance on Monday, February 16, 2026; however, R1 was not allowed back inside and was eventually sent back to the hospital while hospital staff looked for placement for the R1.

Based on the evidence gathered through interviews, the preponderance of evidence standard has been met, therefore, the allegation above is found to be SUBSTANTIATED. A violation is being cited per California Code of Regulations Title 22.

An exit interview was conducted, and a copy of this report and appeal rights were provided.