Complaint Investigation Report

306005693-10-17-2025-22-AS-APAO-DMYVWU-20251031164832

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

10/10/2025 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20251010143913

Facility did not implement interventions to prevent residents from eloping.

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit to begin the investigation into the complaint allegation above. LPA Haley was greeted by staff and explained the reason for the visit.

Regarding the allegation: Facility did not implement interventions to prevent residents from eloping.

During the investigation it was discovered that the complaint allegation was made against the wrong facility. After touring the facility with Staff 1 (S1) documents were requested. Shortly after documents were requested, it was discovered the complaint was indeed filed against the wrong facility. LPA confirmed this by a review of FAS before closing the investigation and informing staff what happened.

Based on the information gathered during the pre-investigation and document review, the following allegation above, is deemed Unfounded, meaning the allegation is false and could not have happened.

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