Complaint Investigation Report

547209220-3-19-2026-24-AS-SMOA-DSNLLK-20260330085115

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

08/22/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250822151427

Licensee Jennifer Jeffries via telephone and staff Cija Reed

Facility did not followed physician's order.

On 03/19/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with staff Cija Reed. Licensee Jennfier Jeffries was contacted via telephone who authorized staff to sign report.

During the course of the investigation, interviews were conducted and records were reviewed. Allegations alleging resident fell resulting in injury, lack of care and supervision, and facility did not follow physician’s order, although the allegation may have happened or is valid. Based on interviews conducted and records reviewed, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee via email per request.