Complaint Investigation Report

361800198-9-12-2025-56-AS-KCLS-DLZTJ3-20250930144540

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

10/24/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20221024143427

LPA Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA met with Administrator Glenn Bernal and explained the elements of the complaint.

LPA Prieto interviewed resident #1 (R1), R2, R3 and R4. Each stating that staff does not handle them in a rough manner. LPA interviewed caregiver staff #1 (S1) and S2, each stating that they do not handle residents in a rough manner during their care or transfers. Resident in question (R5) was not available for interview during time of investigation.

Based on the information obtained there is not enough evidence to support the allegation made in this complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Administrator Bernal and a copy was left with the facility.