Complaint Investigation Report

547208956-10-31-2024-24-AS-SPIY-DAZNVL-20241114094803

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

10/24/2024 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20241024150633

Staff left resident unattended in facility for an extended period

On 10/31/24, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10 day complaint visit. LPA introduced self, stated purpose of visit, and allowed entrance by Licenee/Administrator, Rachael Gardiner.

This department investigated the above allegation, during the investigation, facility was toured, interviews

Based on information gathered during interviews, licensee stated that approximately two weeks ago, they left resident 1 (R1) unattended and without supervision for an emergency. The preponderance of evidence standard has been met,therefore the allegation of illegal eviction and licensee did not notify responsible person of incident is found to be SUBSTANTIATED.

The preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.