Complaint Investigation Report

361880893-5-13-2026-56-AS-KCLS-DU7PPY-20260518113017

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

05/11/2026 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20260511153233

Staff are storing inaccurate records for a resident in care.

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

Allegation #1 - LPA Prieto reviewed resident #1 (R1) medical records to see that the medical records in question are updated an accurate per the R1. Medical Tech (S1) confirmed that updated documents were received by R1 and their medical representative and filed accordingly. Executive Director confirmed the receipt of such documents and obtained these documents for this investigation.

Based on the information obtained there is not enough evidence that staff are storing inaccurate records for a resident in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Enriquez and a copy was left with the facility.