Complaint Investigation Report

415601066-5-14-2025-14-AS-KHOS-DGTMWX-20250519095905

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

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

11/07/2024 and conducted by Evaluator Komal Charitra

COMPLAINT CONTROL NUMBER: 14-AS-20241107162441

On May 14, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Assistant Administrator, Grabriel Mendoza and explained the purpose of the visit.

Regarding the allegation, staff touched resident inappropriately, according to the reporting party, Resident 1 (R1), there has been two separate incidents where Staff 1 (S1) inappropriately touched R1's private parts.

During the invesitgation, the Department reviewed R1's file, interviewed residents and staff. According to R1, during the evenings while S1 would change R1’s diaper, S1 used the palm of his/her hand to rub R1’s private part three separate times, however there were no witnesses the first two time and the third time there was another staff member (S2) present. According to S1 and S2, he/she denies this allegation. S2 indicated that R1 requires two staff assist as R1 is bedridden. In addition, S2 indicated that indicated R1 often accuses staff of hurting them when they are just trying to change R1’s diaper and clean up R1’s bowel movement. The Department concluded the investigation and there is no evidence to prove or disapprove that R1 was inappropriately touched by S1.

Based on interviews conducted and information collected, the department has determined that although the above allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Report is reviewed with Assistant Administrator, Gabriel Mendoza and a copy is provided.