Complaint Investigation Report

486803977-7-29-2025-21-AS-KMOA-DK3UC3-20250730152717

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

06/19/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20250619153050

Staff failed to safeguard residents' cash resources

Licensing Program Analyst (LPA) Loera arrived unannounced and met with Olivia Pangilinen, Caregiver to deliver findings of a complaint investigation. During the course of this investigation, documents were reviewed, observations made, and interviews conducted from outside parties.

Complaint alleges staff failed to safeguard residents' cash resources.

During the course of the investigation, LPA was informed resident (R1) receives checks from an outside agency that is provided and written to the facility. It was reported that R1 was written two (2) separate checks for $200.00 on May 20, 2025 and One (1) check in the amount of $500.00 written on May 28, 2025. Complaint alleges (R1) did not receive the check written on May 28, 2025. LPA was provided with conflicting information about funds for both checks being written, as to who wrote them and when they were cashed. Interviews conducted with all parties revealed (R1) did receive their funds in the full amount.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.