Complaint Investigation Report

361880870-5-4-2026-56-AS-KCLS-DUWMX5-20260610095918

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

04/29/2026 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20260429160559

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Administrator Coronado and explained the elements of the complaint. LPA interviewed resident #1 (R1) in question, who could not corroborate the allegation made in this complaint. R2 was present at time of investigation. R2 could not verbalize any events that occurred at the facility. LPA interviewed Administrator Coronado (S1), who conducted in internal investigation and could not conclude that a resident was hit by staff at the facility. LPA interviewed S2, who was present at the facility at time of investigation. S2 could not corroborate the allegation that staff hit resident while in care. LPA interviewed S3, in question, who denies hitting residents in the home.

Based on the information obtained there is not enough evidence that staff hit resident while in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Administrator Coronado and a copy was left with the facility.