Complaint Investigation Report

372004630-12-1-2022-18-AS-DMUN-CNLW5R-20230131155934

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

11/22/2022 and conducted by Evaluator Tricia Danielson

COMPLAINT CONTROL NUMBER: 18-AS-20221122132324

Licesning Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to initate an investigation into the allegation listed above. LPA met with Caregiver Juanario Payumo and explained the purpose of the visit.

LPA spoke with Licensee/Administrator Julie Ramirez via telephone regarding Resident #1(R1). Ramirez reported R1 no longer resides at the facility. Ramirez reported R1 moved out of the facility in October 2022 and believed R1 now resides at a facility located in Lemon Grove.

This agency has investigated the complaint alleging "Violation of Personal Rights". 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. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names List.