complaint·September 30, 2025

Licensing Program Analyst (LPA), Abdoulaye Zerbo, conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. LPA met with Executive Director Cheree Escandel, and informed them of the purpose of the visit. It was alleged Staff allow a resident to drive unlawfully. LPA conducted interviews with facility staff, reviewed documentation, and made observation. Staff reported that they were informed by a family member that Resident 1 (R1) had a revoked driver’s license. Upon learning this, staff advised R1 not to drive. However, staff stated they were unable to prevent R1 from doing so, as doing so would violate the resident’s personal rights. Additional records review confirmed R1 is not under conservatorship and retains the right to make personal decisions, including transportation. Based on records review, and interviews, the above allegation is Unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to Executive Director Cheree Escandel