Complaint Investigation Report

306004335-11-18-2025-22-AS-APAO-DNQSDN-20251124124724

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

11/18/2025 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20251118111625

There are no staff present at the facility

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to intiate an investigation into 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 interviewed staff and residents. Regarding the allegation that there are no staff present at the facility, the investigation revealed the following: Upon entry, LPA observed Licensee and Licensee's husband at the facility. Licensee's husband is associated to the facility. Licensee indicated staff had resigned earlier in the morning but that Licensee and husband had been present all day. Two out of two residents confirmed Licensee and husband had been present all day. Therefore the allegation is deemed UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit Interview conducted and a copy of this report was provided.