Complaint Investigation Report

306002201-4-23-2026-22-AS-APAO-DTHTL4-20260426144856

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

03/23/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260323110021

Staff inappropriately spoke to resident in care

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegations that staff yelled at resident in care and staff inappropriately spoke to resident in care, the investigation revealed the following: Licensee indicated an incident on 03/21/2026 where Staff 1 (S1) and S2 got into a verbal altercation in the facility. Both staff were yelling at each other but not at residents. The staff were separated and there were no further incidents. Administrator indicates neither staff is employed at the facility since the incident. Two out of two staff and four out of four residents deny witnessing staff yell or talk inappropriately to residents. Based on interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations have been determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of this report was left at the facility.