Inspection Reports for Mainplace Senior Living

The visit was an office type inspection involving an Informal Conference to discuss administrative organization and the Department's consultation role.

The report documents discussions held during the Informal Conference with facility and Department representatives, agreements on providing updated administrative documents by October 20, 2025, and an exit interview was conducted. No specific deficiencies or violations are detailed in this report.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on May 31, 2024, alleging that facility management staff is never available, food service is inadequate, and the facility failed to safeguard residents' property.

The investigation found conflicting information regarding the allegations. Some residents and staff reported management was available and food service was adequate, while one resident reported poor food quality and concerns about management availability. The allegation of stolen resident property was unsubstantiated due to lack of evidence. No citations were issued.

The complaint included allegations that facility management staff is never available, food service is inadequate, and the facility failed to safeguard resident’s property. The investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff did not provide adequate supervision resulting in a physical altercation between residents in care.

The investigation found conflicting information regarding the alleged inadequate supervision and physical altercation between residents. One of eight individuals confirmed the allegation, but other interviews and document reviews did not substantiate it. Therefore, the allegation was deemed unsubstantiated and no citations were issued.

The complaint alleged inadequate staff supervision leading to a physical altercation between residents. The allegation was investigated but found unsubstantiated due to conflicting evidence and lack of preponderance of proof.

The visit was an unannounced complaint investigation triggered by an allegation of lack of care and supervision resulting in a resident sustaining a fracture.

The investigation found that Resident #1 sustained a fall resulting in a hip fracture, but it was unclear if the fall was due to lack of care and supervision. There was insufficient evidence to substantiate the allegation, and the complaint was deemed unsubstantiated.

The complaint alleged lack of care and supervision resulting in a resident sustaining a fracture. The allegation was unsubstantiated due to insufficient evidence to prove or refute the claim.

The visit was an unannounced case management follow-up regarding a Death Report received for Resident 1 on August 28, 2025, and to conduct a Health and Safety inspection.

During the inspection, the facility was found to be in compliance with no deficiencies cited. Resident rooms were properly furnished, medication was securely stored, fire extinguishers were charged and up to date, and safety systems were operable. No immediate threats to resident health or safety were observed.

An unannounced case management visit was conducted to follow up regarding an incident report received by Community Care Licensing on June 18, 2025, and to perform a Health and Safety inspection.

The inspection found that resident bedrooms were properly furnished, utilities and services were operational, food supplies met regulatory requirements, and fire extinguishers were fully charged. No immediate threats to resident health or safety were observed, and no deficiencies were cited.

The visit was an unannounced complaint investigation triggered by allegations received on 2023-03-01 regarding insufficient staff to meet residents' needs and bathrooms being made inaccessible to residents.

The investigation found no corroboration for the allegations after interviews with residents and staff, observations, and record reviews. Staffing levels were adequate, and bathrooms were accessible except for one locked memory care bathroom due to safety concerns. The allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated based on interviews, observations, and document review. No citations were issued.

An unannounced complaint investigation was conducted following allegations of lack of facility supervision resulting in serious injuries and multiple falls, and failure to provide timely medical attention to an injured resident.

The investigation substantiated that Resident #1 suffered multiple falls over approximately three months without documented re-evaluation of care needs, resulting in serious injuries requiring hospitalization. The facility failed to provide timely medical attention after a fall on December 20, 2024, causing a delay of over five hours in medical services. The facility violated its own policies and regulatory requirements.

The complaint investigation was substantiated. Allegations included lack of facility supervision causing serious injuries and multiple falls, and failure to provide timely medical attention. Evidence showed multiple unwitnessed falls of Resident #1, inadequate monitoring, failure to reassess care needs, and delayed emergency response violating facility policy.

Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the Mainplace Senior Living Facility.

The inspection found the facility to be in compliance with all regulations, with no deficiencies cited. Observations included operable signal systems, proper food supplies, functional safety equipment, secure medication storage, and well-maintained resident rooms and common areas.

An unannounced complaint investigation was conducted in response to allegations that facility staff were not ensuring air conditioning was maintained in good repair and were not preventing physical altercations between residents.

The investigation found conflicting information regarding the air conditioning repair status and no evidence of physical altercations between residents. Observations showed the air conditioning was operational and residents were undisturbed. Due to lack of preponderance of evidence, the allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to maintain air conditioning and failure to prevent physical altercations. Interviews with staff and residents yielded conflicting information about air conditioning, and no physical altercations were observed or confirmed.

An unannounced visit was conducted to investigate a complaint alleging that a resident did not receive medication correspondence sent to the facility in a timely manner.

The investigation found that residents R1, R2, R3, and R4 were assessed as capable of managing their own medication. Interviews and record reviews showed mixed reports about medication delivery, with no active grievances filed. The department was unable to substantiate the allegation due to insufficient evidence.

The complaint alleged that a resident did not receive medication correspondence in a timely manner. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted due to an allegation that the licensee does not ensure that staff are adequately trained.

The investigation found that eight of eight direct care staff training records did not meet the required 40 hours of training, including specific dementia care and other required topics. Additionally, five of eight staff files lacked proof of first aid training. The allegation was substantiated based on staff interviews and record reviews.

The complaint was substantiated. The allegation was that the licensee does not ensure that staff are adequately trained. The preponderance of evidence standard was met based on staff interviews and record reviews.

An unannounced complaint investigation was conducted regarding an allegation that a resident sustained multiple falls while in care.

The investigation found that 7 of 7 individuals either denied or were unable to support the allegation. The department was unable to ascertain if the allegation occurred as reported and deemed the allegation unsubstantiated.

The complaint alleged that a resident sustained multiple falls while in care. The allegation was investigated through interviews, document review, and observations but was found unsubstantiated due to lack of preponderance of evidence.

The visit was conducted as a Case Management investigation into a complaint regarding the facility's failure to report an attack resulting in injury to the Regional Office.

The facility failed to report a resident attack that caused injury and required police involvement, violating California Code of Regulations Title 22. This failure poses a potential health and safety risk to residents.

Investigation into complaint control number 22-AS-20230208162544 found the facility did not report an attack between residents that resulted in injury and police involvement. The complaint is substantiated by in-house notes and staff interviews.

An unannounced complaint investigation was conducted in response to allegations that facility staff did not safeguard a resident's belongings and were not answering communications from the resident's responsible person.

The investigation included interviews and document reviews but found insufficient evidence to prove or refute the allegations; therefore, all allegations were deemed unsubstantiated.

The complaint was unsubstantiated after investigation. Allegations included failure to safeguard resident belongings and failure to answer communications. Evidence was inconclusive, and the department was unable to ascertain if the allegations occurred as reported.

Unannounced complaint investigation visit conducted in response to allegations that the facility did not safeguard residents' belongings in rooms and did not report theft.

The investigation included interviews with staff, residents, and witnesses, and document review. The allegations were found to be unsubstantiated due to lack of sufficient evidence to prove or refute the claims.

The complaint involved two allegations: failure to safeguard residents' belongings and failure to report theft. Interviews and document review revealed no corroboration of unauthorized entry or theft, and the facility had informed the resident's family and police regarding a reported medication theft. The allegations were deemed unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-01-12 regarding staffing adequacy and required postings at the facility.

The investigation included interviews with staff, residents, and witnesses, as well as document and posting observations. Both allegations—that the facility did not have appropriate staffing to meet residents' needs and that the facility lacked required postings—were found to be unfounded.

The complaint investigation was based on two allegations: insufficient staffing and missing required postings. Interviews with nine individuals, including staff and residents, mostly denied the allegations. Observations confirmed required postings were present. The allegations were determined to be unfounded.

An unannounced Plan of Correction (POC) visit was conducted in conjunction with complaint control #22-AS-20230629084645 and a citation issued on 01/10/2024 to verify correction of previously cited deficiencies.

The licensee failed to correct deficiencies related to personnel records training and orientation, specifically in-service training for direct care staff serving residents with dementia, as required by Title 22 regulations. The deficiencies remain uncured as of the visit date.

The visit was conducted in conjunction with complaint control #22-AS-20230629084645.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2023-11-20 regarding medication administration, resident comfort, staffing adequacy, provision of admissions agreement, and communication with authorized representatives.

The investigation found that although some allegations had some basis, there was insufficient evidence to substantiate violations. Two Type B deficiencies were cited related to incomplete resident records and delayed provision of records to the authorized representative. Other allegations such as medication administration, temperature comfort, staffing levels, and communication were found unsubstantiated.

The complaint investigation was unsubstantiated overall. Allegations included failure to administer eye drops as prescribed, inadequate temperature, insufficient staffing, failure to provide admissions agreement, and failure to communicate health changes. The investigation included interviews, record reviews, and site tours. Two deficiencies were cited related to record keeping and timely access to records.

An unannounced complaint investigation was conducted due to an allegation that staff did not adequately supervise a resident, resulting in multiple wanderings from the facility.

The investigation substantiated the allegation that staff failed to adequately supervise the resident, leading to multiple wanderings which posed an immediate health and safety risk. A deficiency was cited under Title 22 Division 6 of the California Code of Regulations.

The complaint was substantiated. The allegation was that staff did not adequately supervise a resident, resulting in multiple wanderings from the facility. Evidence included incident reports and facility disclosures confirming the resident's unsupervised wanderings and the associated risks.

An unannounced complaint investigation was conducted in response to allegations that facility windows and the facility gate were not secured.

The investigation found conflicting information regarding the security of the facility windows and gate. The Licensing Program Analyst observed that windows in the memory care unit were latched and alarmed, and the gate was self-latching with an operable lock. Due to insufficient evidence, the allegations were unsubstantiated.

The complaint investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove the alleged violations regarding unsecured windows and gate.

The inspection was an unannounced complaint investigation visit conducted in response to complaints alleging inadequate staffing to meet residents' needs, residents being left unattended, and untrained staff providing care and supervision.

The investigation found conflicting information regarding staffing adequacy and residents being left unattended, resulting in those allegations being unsubstantiated. However, the allegation that untrained staff were providing care and supervision was substantiated based on interviews and staff training record reviews, revealing deficiencies in required dementia care training.

The complaint investigation was triggered by allegations received on 06/29/2023 regarding inadequate staffing, residents being left unattended, and untrained staff providing care. The allegation of untrained staff was substantiated, while the others were unsubstantiated.

The visit was an unannounced complaint investigation triggered by an allegation that staff were not addressing residents' fall risk.

The investigation included interviews with residents and staff, a review of documentation, and observations. The allegation was not corroborated by interviews or evidence, and the complaint was deemed unsubstantiated.

The complaint alleged that staff were not addressing resident's fall risk. Interviews with 7 residents and 2 staff members did not corroborate the allegation. Documentation showed a resident with dementia had a fall, but the fall was not due to staff neglect. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 06/27/2023 regarding the facility's failure to report theft of a resident's personal belongings and staff going through residents' personal belongings.

The complaint that the facility did not report theft of a resident's personal belongings was substantiated, as the facility filed a police report 18 days after the discovery of stolen property valued at $400, exceeding the 36-hour reporting requirement. The allegation that staff were going through residents' personal belongings was unsubstantiated due to conflicting information and lack of preponderance of evidence.

The complaint investigation involved two allegations: 1) the facility did not report theft of a resident's personal belongings, which was substantiated; 2) staff were going through residents' personal belongings, which was unsubstantiated. The substantiated allegation cited a violation of California Code of Regulations, Title 22, Division 6, Chapter 8.

The visit was an unannounced complaint investigation conducted in response to allegations that staff did not provide medications to a resident as prescribed and that staff spoke to a resident in an inappropriate manner.

The investigation found the allegation regarding medication administration to be unfounded, as interviews and documentation confirmed the resident self-administered medications. The allegation of inappropriate staff communication was deemed unsubstantiated due to insufficient evidence.

The complaint involved two allegations: 1) staff did not provide medications to a resident as prescribed, which was found to be unfounded; 2) staff spoke to a resident in an inappropriate manner, which was unsubstantiated.

Unannounced complaint investigation visit conducted in response to an allegation that facility staff did not answer resident's calls for assistance.

The investigation found that staff respond to call lights and assistance requests in a timely manner, with sufficient staffing levels. Observations and interviews indicated no substantiated failure to respond to calls. The allegation was determined to be unfounded with no deficiencies cited.

The complaint alleging that staff did not answer resident's calls for assistance was investigated and found to be unfounded based on interviews, documentation review, and observations.

An unannounced complaint investigation was conducted due to allegations that a resident sustained injuries from a fall while in care and had fallen multiple times.

The investigation found that the resident fell multiple times, including one fall requiring hospitalization, and was not re-assessed or re-appraised after the falls. The allegations were substantiated and deficiencies were cited related to failure to update the resident's appraisal and failure to arrange a meeting regarding significant change in condition.

The complaint investigation was substantiated. The resident fell multiple times, including a fall on 6/28/22 that required hospitalization and resulted in significant change in condition. The facility failed to re-assess the resident or update the appraisal and failed to arrange required meetings.

The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 06/06/2023 regarding the facility not meeting residents' needs and improper cleaning of floors in resident rooms.

The investigation found that nine of ten interviewees denied the allegation that the facility does not meet residents' needs, and six of six residents confirmed timely staff response. Regarding floor cleaning, nine of ten interviewees denied the allegation, with maintenance and health staff confirming timely carpet cleaning upon request. Both allegations were deemed unfounded based on evidence gathered.

The complaint investigation was triggered by allegations that the facility does not meet residents' needs and that floors in resident rooms are not cleaned properly. The allegations were found to be unfounded after interviews with residents, staff, and observations.

The visit was a Case Management - Other type of unannounced collateral visit conducted by Licensing Program Analyst Andrea Mendivil to evaluate the facility and interview a resident.

No deficiencies were noted during the visit. An exit interview was conducted and a copy of the report was provided to the Executive Director.

Licensing Program Analyst Joseph Alejandre made an unannounced case management visit to the facility to follow up on a 10-day complaint visit regarding missing required posters.

The See Something Say Something Poster was not posted in the main entryway as required, though Ombudsman posters were observed in other locations. The Executive Director acknowledged the issue and agreed to correct it. A Technical Assistance Advisory Note was issued.

The visit was related to a 10-day complaint visit (Complaint # 22-AS-20230630114211 dated 6/30/23).

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-04-10 alleging multiple issues including inadequate resident hygiene, feeding, response to calls for assistance, telephone answering, and timely medical care.

Based on interviews, document reviews, and observations, the allegations were either unfounded or unsubstantiated. Residents' hygiene needs were met, residents were adequately fed, staff responded to call buttons, the facility telephone was answered, and medical care was contacted timely. There was insufficient evidence to prove or refute the alleged violations; therefore, the allegations were deemed unsubstantiated or unfounded.

The complaint included allegations that staff did not ensure residents' hygiene needs were met, did not adequately feed residents, did not respond to residents' calls for assistance, did not answer facility telephone, did not obtain medical care in a timely manner, and removed resident's personal items (ringbell camera). The allegation regarding removal of personal items was unfounded. Other allegations were unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-01-20 regarding an allegation of illegal eviction at the facility.

The facility failed to provide proper 30-day eviction procedures and did not include the necessary information as required by Title 22 regulations. The allegation of illegal eviction was substantiated based on the preponderance of evidence.

The complaint investigation was substantiated. The allegation was illegal eviction. The facility issued a 30-day eviction notice without meeting all regulatory requirements, and court approval for unlawful detainer was received but not yet issued to the resident.

An unannounced complaint investigation visit was conducted to investigate multiple allegations regarding cleanliness and resident care at Mainplace Senior Living Facility.

All allegations including unclean resident rooms, unkempt resident appearance, unclean bathrooms, lack of toilet paper, and unclean mattresses were investigated and found to be unsubstantiated or unfounded based on observations and staff interviews.

The complaint investigation was triggered by allegations that staff did not ensure residents' rooms and bathrooms were clean, residents appeared unkempt due to neglect, residents lacked toilet paper, and mattresses were not clean. The investigation found no preponderance of evidence to substantiate these allegations; one allegation regarding mattress cleanliness was deemed unfounded.

An unannounced Case Management visit was conducted to Mainplace Senior Living to provide consultation regarding Title 22 Regulation and the Health and Safety Code, related to complaint control number 22-AS-20230317144713.

No deficiencies were issued during this Case Management visit. Extensive consultation was provided and the importance of attending informational calls was emphasized.

The visit was related to a complaint with control number 22-AS-20230317144713. No deficiencies were found during the complaint visit.

An unannounced complaint investigation was conducted due to allegations that resident's medication was not administered as prescribed, staff were not properly trained, staff did not answer the facility phone, and the facility was in disrepair.

The investigation found conflicting information from staff and residents regarding the allegations. Medication administration records were reviewed but not time-stamped, making exact timing unclear. Staff training records showed required training was completed. Phone calls made during the investigation were answered by care staff. Facility plumbing was operational and no clear evidence of disrepair or ventilation issues was found. Due to insufficient evidence, the allegations were unsubstantiated.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred. Allegations included medication not administered as prescribed, inadequate staff training, unanswered facility phone, and facility disrepair.

The visit was conducted to amend Complaint #22-AS-20200929093348 by adding additional information without changing the original finding of Unsubstantiated.

The amendment to the complaint did not change the finding, which remained Unsubstantiated. An exit interview was conducted and a copy of the report was provided to the facility administrator.

The visit was related to Complaint #22-AS-20200929093348. The finding was Unsubstantiated and remained unchanged after the amendment.

Licensing Program Analyst Claudia Gutierrez made an unannounced visit to follow up on an incident report received by the Department on 10/31/2022.

No deficiencies were cited during this visit. The Licensing Program Analyst reviewed Resident 1's medical records and confirmed diagnoses and physician orders, including a Do Not Attempt Resuscitation order.

Licensing Program Analyst Claudia Gutierrez made an unannounced visit to conduct a Required/Annual Inspection of the facility.

No deficiencies were cited during the inspection. Technical Advisories were given regarding emergency care requirements in resident files and facility policies on resident screening, staff screening, visitation, COVID-19 protocols, infection control, PPE, staffing, and staffing shortages.

An unannounced complaint investigation was conducted due to an allegation that a resident's call button was in disrepair.

The investigation confirmed that the resident call button system was inoperable, with call button lights broken and ignored by staff. The allegation was substantiated based on interviews and observations.

The complaint alleged that the resident's call button was in disrepair. The allegation was substantiated after investigation and interviews with staff and administration.

The inspection was an unannounced complaint investigation visit triggered by complaints received on 2021-01-02 regarding nonoperational facility dryers and resident laundry not washed, and nonoperational resident TV and cable.

The investigation substantiated that dryers were nonoperational from 12/2/20 to 12/4/20 causing laundry delays, and cable was nonoperational from 12/31/20 to 1/5/21 causing personal rights risk. Another complaint regarding food menus and administrator phone calls was unsubstantiated.

The complaint investigation was substantiated for issues with nonoperational dryers and cable causing potential health and personal rights risks. Another complaint about food menus and administrator phone calls was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-04-28 alleging inadequate supervision of a resident resulting in multiple falls.

The investigation found that resident R1, admitted on 2021-02-15, was non-ambulatory and a fall risk with approximately 15 unwitnessed falls and multiple elopements from the facility. Despite these incidents, the allegation of inadequate supervision was determined to be unsubstantiated due to insufficient evidence to prove the violation occurred.

The complaint alleged that facility staff did not adequately supervise a resident resulting in multiple falls. The allegation was found unsubstantiated after interviews and record reviews.

The inspection was an unannounced complaint investigation triggered by allegations including residents not receiving meals, mismanagement of medications, and insufficient staffing to meet residents' needs.

The investigation found that the allegations were unsubstantiated based on interviews, documentation review, and staffing schedules. Resident #1's medication management followed physician orders, meal records showed residents did receive meals though some refusals occurred, and staffing levels were adequate during the reviewed period.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.

The inspection visit was conducted to deliver the findings of three complaints related to the facility, including an incident involving a resident elopement.

Resident #1 eloped from the Memory Care unit on 8/9/22, prompting a search involving staff and local police. The resident was found safe the next day without injuries. No citations were issued, but the facility was reminded to implement an elopement plan and ensure sufficient staffing to meet the resident's needs.

The visit was triggered by complaints #22-AS-20220103122410, #22-AS-20210102174521, and #22-AS-20210428152302. The resident elopement incident was investigated and substantiated by the report of the resident leaving the facility unassisted and being found outside the facility the next day.

This was an unannounced complaint investigation visit triggered by allegations that staff failed to escort Resident #1 to breakfast causing the resident to faint and failed to provide first aid to Resident #1.

The investigation found that Resident #1 refused to go to breakfast and self-administered medications without food, which caused the resident to faint and sustain a cut. Staff did not administer first aid as the resident refused assessment and declined hospital or doctor visits at that time. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated. Although the events may have occurred, there was insufficient evidence to prove violations. Resident #1 was non-ambulatory, capable of self-care, and self-administered medications. Staff reported the resident refused to go to breakfast and refused first aid assessment after fainting.

The inspection visit was an unannounced complaint investigation triggered by an allegation that a resident was touched inappropriately by another resident.

The investigation included interviews with the administrator, staff, and resident, as well as a review of documentation. The allegation was found to be unfounded, meaning it was false, could not have happened, or was without a reasonable basis.

The complaint alleged that Resident 2 grabbed Resident 1's buttocks on two occasions while staff were escorting Resident 1 to breakfast. Both Resident 2 and staff denied the incidents. The allegation was determined to be unfounded.

An unannounced complaint investigation visit was conducted in response to allegations that the responsible party did not receive a copy of the admission agreement and did not receive a refund.

The investigation found the allegations to be unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis. The complaint was dismissed after interviews and document reviews.

The complaint allegations were that the responsible party did not get a copy of the admission agreement and did not receive a refund. After investigation, including interviews with three interviewees who all denied the allegations, the complaint was deemed unfounded.

Licensing Program Analyst Claudia Gutierrez made an unannounced case management visit to follow up on a report submitted to the department on May 2, 2022.

Interviews were conducted with the Business Manager and Wellness Director. Based on these interviews, the resident involved in the report is no longer at the facility.

The inspection was an unannounced complaint investigation triggered by allegations that facility staff failed to assist a resident with meal services and that the licensee was charging fees outside the admission agreement.

The investigation found that the allegations were unsubstantiated. Records showed the resident often refused meal escort services and was provided alternatives. The fee charges outside the admission agreement were resolved with adjustments and a signed agreement. The administrator was reminded to keep admission agreements current and clear on additional charges.

The complaint involved two allegations: failure to assist a resident with meal services and charging fees outside the admission agreement. After interviews and record reviews, the allegations were found unsubstantiated due to insufficient evidence.

An unannounced complaint investigation was conducted following a complaint received on 2020-04-13 regarding multiple allegations about resident R1's care and facility conditions at Mainplace Senior Living Facility.

The investigation found that although several allegations were made against the facility staff and conditions, including failure to safeguard belongings, improper transport, and facility disrepair, the evidence was insufficient to substantiate the complaints. The allegations were deemed unsubstantiated after interviews, record reviews, and staff statements.

The complaint involved allegations that staff did not ensure resident access to personal belongings, failed to safeguard belongings, did not assist with meals, improperly transported the resident, failed to intervene in verbal altercations, threatened eviction, and that the facility was in disrepair. The investigation concluded these allegations were unsubstantiated.

report_41_306005636_inx40_2024-04-23.pdf

report_25_306005636_inx24_2023-05-25.pdf