Complaint Investigation Report

During the investigation LPA reviewed documents including the Licensing Information System (LIS) Facility Personnel Report Summary dated 07/12/23. Per LIS Facility Personnel Report Summary S1 is not associated and/or cleared to work at the facility.

Based on LPA observations and the interviews which were conducted, the preponderance of evidence standard has been met, therefore the following allegation: Female non-staff is sleeping in common area (living room couch) is deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D

AD agreed to email the Physician Report (LIC602) and Admission Agreement for three residents in care by 07/17/23.

An exit interview was conducted with AD Dela Cruz and a copy of this report along with the Appeal Rights were provided at the time of this visit.