Complaint Investigation Report

435200459-4-3-2024-26-AS-KHOS-D85NHZ-20240814102936

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

09/15/2021 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 26-AS-20210915083723

Staff does not follow emergency intervention plan

On 4/3/2024, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint inspection. LPA met with Facilty Staff Joseph Mercado and explained the purpose of the visit.

During the visit, LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility.

On 09/15/2021, the Department received a report alleging that staff does not follow emergency intervention plan.

The Department conducted interviews and record reviews. Based on the information available, it was unable to prove whether the staff did not follow emergency intervention plan.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is unsubstantiated, at this time.

No deficiencies were cited during the visit. Report is reviewed and copy is provided.