Complaint Investigation Report

547209231-4-25-2026-24-AS-AWAN-DTUTUZ-20260507150306

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

01/21/2026 and conducted by Evaluator Brianna Miranda

COMPLAINT CONTROL NUMBER: 24-AS-20260121093511

Facility staff handled resident aggressively.

On April 25, 2026, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the findings for the allegation listed above. LPA met with Jasmine Mata- Caregiver.

Regarding the allegation: Facility staff handled resident aggressively. LPA conducted various interviews and tried to obtain evidence regarding the allegation. Interviewees did not state S1 staff was aggressive in any way to residents.

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 allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided to Jasmine Mata- Caregiver