Complaint Investigation Report

306000752-4-14-2026-22-AS-APAO-DTE7YZ-20260422220534

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

04/13/2026 and conducted by Evaluator Andrea Mendivil

COMPLAINT CONTROL NUMBER: 22-AS-20260413161414

Uncleared staff providing care to residents

On this day, Licensing Program Analysts (LPAs) Andrea Mendivil and Kimberly Lyman made an unannounced visit to conduct a compaint investigation. LPAs were greeted and granted entry into the faciltiy by staff and explained the reason for the visit.

The Department received a complaint on 04/13/2026. During the course of the visit LPAs obtained copies of staff roster and reviewed a random selection of 6 staf members records. Regarding the allegation uncleared staff providing care to residents the investigation revealed the following:

It was alleged that uncleared staff were providing care to residents, per review of staff criminal records clearance and staff roster all staff have obtained a criminal record clearance and are associated to the faciltiy.

Therefore based on the preponderance of evidence through records reviewed the allegation uncleared staff are providing care to residents is determined to be UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was left at the facility.