Complaint Investigation Report

547206599-8-12-2022-24-AS-MHON-CHCM8E-20220816092300

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

04/29/2022 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20220429082440

WALNUT GROVE HOUSE, INC. DBA LEWIS GRAVES ARF #2

Client sustained bruises as the result of being shoved

Licensing Program Analyst (LPA) M. Medina conducted a subsequent visit to facility to deliver findings to complaint. LPA identified herself and discussed the purpose of visit with Administrator, Tiffany Johnson.

LPA conducted interviews, and reviewed documentation received during complaint investigation. Based on interviews, and record reviews, there was insufficient evidence that client sustained bruises as the result of being shoved.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. No deficiencies cited.