Complaint Investigation Report

Worthy House #1, Hayward04/22/2025Licence 019200543

Census2
Date signed04/22/2025 12:18:56 PM
The inspector’s account

C1 stated that the licensee wants the key to her room but C1 didn’t want her to come inside the room. C1 further stated that the licensee went in and threw C1’s clothes out from the drawer to the bed and cleaned C1’s closet.

FM stated that C1 was upset and told FM that C1’s room was locked, and that the licensee broke into C1’s room using a credit card to open the door. The licensee threw C1’s clothes from the drawer to C1's bed. FM further stated that she called the staff to confirm the incident.

S2 confirmed that C1 didn’t want to give the key to C1’s room and somehow, the licensee and S1 were able to get inside and cleaned C1’s room.

Both C1 and C2 stated that the licensee told them not to eat in their rooms.

Based on interviews conducted, the preponderance of evidence has been met, therefore the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty.

Deficiency and plan and proof of correction were discussed with the licensee over the phone and with the administrator.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction