Complaint Investigation Report

306005901-7-3-2023-22-AS-SSAS-CTGR5B-20230706124250

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

04/04/2023 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20230404091722

Unqualified staff providing care and supervision to residents.

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit regarding the complaint allegation above. LPA Haley was granted entry and explained the reason for the visit with upon entry. During the visit LPA Haley briefly interviewed Executive Director (ED) Eric Jensen and Staff 5 (S5) to gather additional information.

Regarding the allegation, the investigation revealed the following:

During interviews, 7 of 7 witnesses failed to provide any evidence or information to support the complaint allegation. Further, a review of documents provided (job description, training records), contradict the complaint allegation mentioned above.

Based on the information gathered during the investigation through interviews, and record review, the allegation mentioned above is deemed Unfounded, meaning 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.