Complaint Investigation Report

336413084-11-4-2021-18-AS-JESL-C98SYJ-20211129131736

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

11/02/2021 and conducted by Evaluator Javina George

COMPLAINT CONTROL NUMBER: 18-AS-20211102102202

Staff member physically abused resident while in care.

Staff member verbally abused resident while in care.

Licensing Program Analyst (LPA) arrived unannounced at the facility to commence a complaint investigation. LPA was greeted and granted entry by Caregiver Princess Janolino. LPA met with Administrator Gerlita via telephone. This agency has investigated the complaint alleging "Staff member physically abused resident while in care and Staff member verbally abused resident while in care".

Upon further investigation through conducted interviews, it was revealed that the resident in question does not reside at the facility.

We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted and a copy of this report was provided to Caregiver Princess Janolino.