Complaint Investigation Report

547209004-1-15-2026-24-AS-AWAN-DQL2P8-20260122163355

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

08/22/2025 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20250822154708

On this date, Licensing Program Analyst (LPA), L. Xiong arrived unannounced to deliver findings on the above allegation. LPA stated the purpose of the visit and requested to meet with the Executor Director. LPA met with Kim Santos.

During this investigation, the Department conducted interviews and reviewed records. It was found that facility staff were not responsible for medication management and were not required to perform regular scheduled checks.

The Department has investigated the complaint alleging: Questionable Death. We have found that the complaint was UNFOUNDED.

An exit interview was conducted. A copy of this report was discussed and provided to Kim Santos.