Complaint Investigation Report

547209546-3-12-2026-24-AS-SMOA-DTCSP3-20260421140227

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

03/10/2026 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20260310082840

Staff did not prevent resident from wandering from the facility resulting in resident damaging property

On 3/12/26 at 2:30pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with House Lead (HL) Michelle Grant. Administrator (A1) Artaja Stoval was not present during visit, however was reached via telephone.

The Department received and reviewed facility records, conducted interviews with staff, and residents.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to House Lead which confirms signature of this report.