Complaint Investigation Report

547204148-10-13-2025-24-AS-SPIY-DMPLTR-20251022090247

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

07/15/2025 and conducted by Evaluator Martin Vega

COMPLAINT CONTROL NUMBER: 24-AS-20250715085306

Resident sustained multiple recent fractures to forearm

On 10/13/2025 Licensing Program Analyst (LPA) M Vega met with Administrator Assistant - Taimi Lopez to deliver the finding regarding the above allegation.

The allegation of staff Resident sustained multiple recent fractures to forearm and resident sustained bruising.LPA conducted an investigation including Client 1 (C1) medical record and facility documentation for C1. There is conflicting information regarding the allegations that took place with residents. Based on the investigation it was determined that 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.

No deficiencies observed nor cited at this time.

Exit interview was conducted and a copy of this report LIC 9099 was provided to Administrator Assistant - Taimi Lopez.