Complaint Investigation Report

335530032-10-9-2025-56-AS-KCLS-DNHQPK-20251117112053

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/08/2025 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20251008124007

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Executive Director Pacia and explained the elements of the complaint.

Allegation #1 - LPA Prieto interviewed resident #1, in question, who states that he is not aware of any financial abuse occurring that the facility with staff. LPA Prieto interviewed staff #1 (S1), S2 and S3, all stated that they are not aware of any financial abuse occurring with R1 of any other resident at the facility. S4 states that she was made aware of charges made to R1's credit card by R1's responsible party, but did not state that staff were responsible for any of these charges.

Based on the information obtained there is not enough evidence that to substantiate the allegation made in this complait. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Pacia and a copy was left with the facility.