Complaint Investigation Report

306004807-1-13-2023-22-AS-LADS-CNSTYF-20230206140838

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

12/31/2020 and conducted by Evaluator Jenifer Tirre

COMPLAINT CONTROL NUMBER: 22-AS-20201231114210

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to deliver findings on complaint investigation. LPA was granted entry by staff. LPA discussed purpose of the visit with Administrator Crystle Lara.

During the course of this investigation LPA conducted interviews with staff and clients, observations of clients in care and a review of client records was completed, Copies of pertinent documents obtained.

It is alleged that staff pushed client on back. Based on conflicting information received from interviews, the lack of information regarding the incident in question, and the lack of corroborating witness to the incident, LPA is unable to determine if the alleged violation occurred as reported.

We have found the complaint allegation is UNSUBSTANTIATED, although the allegation may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation occurred as reported.

This report is being reviewed with administrator and a copy of this report was left at the facility.