Complaint Investigation Report

547201120-5-2-2022-24-AS-MHON-CE3W2Y-20220503165508

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

02/15/2022 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20220215131602

Resident assaulted another resident while in care as the result of lack of care and supervision

On 05/02/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Assistant Administrator Martha Brewer.

During the course of the investigation, LPA reviewed record and conducted interviews with staffs. Staffs observed incident and attended to resident immediately.

Based on LPA record review and interviews which were conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED.