Complaint Investigation Report

547203298-6-2-2026-24-AS-AWAN-DEMN73-20250310101203

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

09/18/2024 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20240918115204

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

Staff utilizes a pad lock on the inside of exit doors.

Licensing Program Analyst (LPA) L. Xiong conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff on duty and observation during facility tour. It was determined based on the interviews and tour that the above allegation is SUBSTANTIATED. Facility southwest exit door was observed to have a latch with a pad lock. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”)