Complaint Investigation Report

547203298-6-2-2026-24-AS-AWAN-DFBNDB-20250401102205

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

09/05/2024 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20240905121635

“This report is being amended to update the reporting manager.”

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Licensee Lisa Ong and informed her the purpose of the visit.

During the course of this investigation LPA reviewed facility files relevant to the complaint investigation. It was determined that the above allegation: Staff mismanages residents medication is UNFOUNDED. From the interviews and review of residents' medication and records, there are no errors observed. This agency has investigated the complaint alleging (Lack of supervision resulting in resident's fall). We have found that the complaint was unfounded, therefore we have dismissed the complaint.