Complaint Investigation Report

547208237-8-18-2023-24-AS-MHON-CZ69YD-20240103224655

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

08/08/2023 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20230808091824

Staff failed to provide a safe and comfortable environment for residents.

Licensing Program Analyst (LPA) L. Xiong conducted complaint investigation visit to the facility. I met with staff Dexter Savage and spoke to Administrator Diana Rico and informed them the purpose of the visit. During the course of this complaint investigation LPA interviewed the administrator and obtained other records pertinent to the allegations. It was determined based on the interview and record obtained that the above allegations were SUBSTANTIATED. The evidence from the investigation indicated that the alleged allegations did take place in the above facility. 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.”)