Complaint Investigation Report
547209153-1-15-2026-24-AS-AWAN-DQL2PP-20260122163441
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
07/07/2025 and conducted by Evaluator Les Xiong
COMPLAINT CONTROL NUMBER: 24-AS-20250707105108
Staff do not meet the qualifications to care for residents.
On this date, Licensing Program Analyst (LPA) L. Xiong arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Kyla Severns.
During the course of this investigation, LPA reviewed records and conducted interviews.
Record review revealed that S1, S2, S3, and S4 did not have an RBT credential while working in the facility. S4 obtained a RBT credential at a later date. S1, S2, and S3 did not have an RBT credential and were transferred out of the facility.
A deficiency is being issued in accordance with California Code of Regulations, Title 22, Division 6 on the attached 9099D.
Exit interview conducted and a plan of correction was developed and reviewed. A copy of this report and appeal rights were discussed and provided to Kyla Severns.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction