Complaint Investigation Report

300603257-6-3-2026-22-AS-KSGH-DUYVP3-20260612163603

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

05/27/2026 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20260527155209

Staff did not check on resident in a timely manner

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to begin the investigation into the complaint allegation listed above. LPA explained the purpose of the visit upon entry. The complaint investigation consisted of interviews and document review.

Regarding the allegation: Staff did not check on resident in a timely manner

During the investigation it was discovered the alleged victim is not an Assisted Living (AL) or Memory Care (MC) Resident. LPA Haley reviewed the resident roster for Assisted Living and Memory Care. The individual was not admitted to either level of living in the community.

Based on the information gathered through interview and document review, the allegation is deemed unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis.

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