Complaint Investigation Report

306005924-7-5-2023-22-AS-SSAS-CTQPHV-20230714112035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE & INLAND A/SC , 770 THE CITY DR., SUITE 7100

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

06/20/2023 and conducted by Evaluator Kevin Saborit-Guasch

COMPLAINT CONTROL NUMBER: 22-AS-20230620130603

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above.

On June 21, 2023, LPA conducted an initial complaint investigation at the facility. LPA requested and obtained resident records for all five individual in care at the time of the visit. LPA accompanied by administrator toured the physical plant. No violations implicating the Health and Safety of the individuals in care observed during the visit.

After review of the resident records, it was confirmed that the alleged victim included in the complaint did not either currently or previously reside at this licensed location. The allegation is therefore deemed to be unfounded, meaning that 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 to a facility representative.