Complaint Investigation Report

It was learned that these forms and documents required the acknowledgement and signature of the facility Licensee in order to finalize and move forward.

It was learned that several attempts were made from the authorized representative out to the facility Licensee who did not return any of these attempts or properly sign and return the forms and documents.

It was learned that the authorized representative even reached out to the facility designated Administrator, Luis Magana, to relay this information and request that he go ahead and get in contact with the facility Licensee, Pamela Brown, so that she could go ahead and complete the forms and documents and get them back to the authorized representative.

Based on a review of the facility designated Administrator, Luis Magana's, email history on his cell phone, it was observed that the CAP documents were sent to him by Pamela Brown but were not forwarded over to the authorized representative since the date of 09/29/2025.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.