Complaint Investigation Report

547206331-10-20-2022-24-AS-MHON-CKHL8U-20221024083227

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

06/20/2022 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20220620102853

Facility staff spoke aggressively and disrespectfully to resident

Reporting party alleges staff punished resident

Licensing Program Analyst (LPA) M. Medina conducted a subsequent visit to facility to conduct interviews. LPA identified herself and discussed the purpose of visit with

Licensee, Amy Ruf via telephone. LPA allowed entrance by Caregiver.

LPA conducted interviews with Resident (R1) and Staff (S1, S2, S3). LPA was unable to interview alleged witness (W1) resulting in insufficient information regarding allegations of facility staff spoke aggressively and disrespectfully to resident and alleging staff punished resident, .

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.