Complaint Investigation Report

547203298-6-2-2026-24-AS-AWAN-DNERYQ-20251114122642

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

11/03/2025 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20251103165446

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

Staff did not assist resident with medical appointments

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 and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. The evidence from the investigation indicated that doctor's appointment was missed. 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.”)