Complaint Investigation Report

306005740-7-14-2025-22-AS-LMUZ-DK524B-20250731170337

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

03/01/2023 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 22-AS-20230301143239

Facility staff refused to assist resident with toileting and changing

Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced and met with Health Services Director (HSD) Alyson Womack to deliver findings for the above complaint allegations.

The department conducted interviews with facility staff and residents. Interviews with residents revealed they feel like staff come when they call for assistance but it can take a while. Interview with staff revelaed that staff will assist in changing the resident and cleaning up the area. LPA was unable to interview involved staff as this complaint was made in March of 2023.

Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted a copy of the report and appeal rights were left at the facility.