Complaint Investigation Report

547208883-1-8-2026-24-AS-SMOA-DQHT43-20260120132312

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

01/02/2026 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20260102122333

On 1/8/26 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 Assistant Administrator (AA) Andrue Quiroz.

The Department conducted interviews with Assistant Administrator, Staff, and residents regarding the allegation above. 3 residents were present during the visit. Only 1 out of the 3 are able to engage in verbal communication. R1 was able to conduct an interview with LPA.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficincies are being cited Per Title 22 Regulations.

Exit interview conducted. A copy of this report with Appeal Rights was distributed to Assistant Administrator which confirms signature of this report.