Complaint Investigation Report

547208809-4-18-2023-24-AS-SMOA-CQ6SU9-20230322141047

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

12/28/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20221228104529

Facility staff are not following visitor guidelines for COVID-19

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced for a subsequent inspection.

LPA discussed the purpose of the visit and the elements of the allegations with administrator. LPA delivered the following findings.

Based on the interviews conducted, the allegations listed above are UNSUBSTANTIATED. Although the

allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur; therefore, these allegations are unsubstantiated.

Exit Interview conducted with Administrator. Report signed on site; printed copy of report was provided