Complaint Investigation Report

415600805-4-16-2025-14-AS-KHOS-DG7GDM-20250429051519

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

03/19/2025 and conducted by Evaluator Komal Charitra

COMPLAINT CONTROL NUMBER: 14-AS-20250319150828

Licensee/administrator, Jocelyn De La Torre

Facility staff restrained resident by tying resident's bedroom door to a handrail

On April 16, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Licensee/administrator, Jocelyn De La Torre and explained the purpose of the visit.

Regarding the allegation, facility staff restrained resident by tying resident's bedroom door to a handrail, according to the reporting party, on 3/16/25, there was a fire at the facility and it was observed that there was a tie on Resident 1's (R1's) door handle on one side and it was tied to stair railing on opposing side.

During the investigation, LPA interviewed the administrator and interviewed staff. According to the administrator, she admitted that R1's room was tied by Staff 1 (S1), however does not know why. In addition, based on staff interviewed, S1 admitted that he/she did tie R1's room door because R1's room would not close all the way and to stop R1 from going downstairs all the time.

Based on the information collected, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.

Report is reviewed with Licensee/administrator, Jocelyn De La Torre and a copy is provided with appeal rights.