Complaint Investigation Report

306006472-7-22-2026-22-AS-AORZ-DWFPWM-20260729114058

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

07/20/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260720080427

Staff engaged in inappropriate behavior with resident(s)

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. 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. Regarding the allegation that staff engaged in inappropriate behavior with resident(s), the investigation revealed the following: Resident 1 (R1) has a known action of inappropriate behavior and facility is working with the resident's physician to address the issue. Five out of five staff indicate the resident is the instigator of inappropriate behavior and not the staff. Facility staff indicates staff are going in pairs to the resident's room to ensure safety for the caregivers/ med techs. Per Service Plan Report dated 06/01/2026, R1 is diagnosed with Schizoaffective Disorder. Based on interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was left at the facility.