Complaint Investigation Report

374604171-6-25-2025-08-AS-APAO-DJ2QFQ-20250627120818

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRALIZED APP UNIT , 744 P STREET, MS 9-14-8201

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

05/16/2023 and conducted by Evaluator Donna Teutschel

COMPLAINT CONTROL NUMBER: 08-AS-20230516142516

Residents in care sustained unexplained injuries

Lack of supervision resulted in resident left on the floor for an extended amount of time.

Staff did not follow physician's special diet orders.

LPM II Donna Teutschel conducted a telephone conference with Clinical Director, Yolanda Torres. both the Clinical director, Yolanda Torres, and the Administrator, Jonathan Wheeler, are new to the facility. A review was conducted of the allegations listed and investigative details available.to date which do not corroborate allegations and lack details necessary.. The Department is unable to prove or disprove any of the allegations and the findings are determined to be Unsubstantiated.