Senior Care Records.

Complaint Investigation Report

Lake Park Senior Living, Oakland04/15/2024Licence 019201182

Census105
Date signed04/15/2024 12:42:47 PM
The inspector’s account

019201182-4-15-2024-15-AS-BFOG-D6TMLD-20240703094207

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

04/05/2024 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20240405164105

On 04/15/2024 at approximately 9:45 AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an initial 10-day complaint investigation visit regarding the allegation above. LPA met with Executive Director (ED), Annemarie Domizio, and explained the purpose for the visit.

During the course of investigation LPA interviewed staff. S1 stated there are pests in the kitchen, but the issue has been addressed. Clark Pests Control company (Clark) came out on 4/9/24 to conduct an assessment on the issue. LPA observed that there are multiple traps are places around the kitchen areas. S1 stated Clark have not been out since January, however as of last week Clark started to come and check on the pests’ issue. S1 have seen a better improvement after Clark came out. According to S1 after Clark did their assessment, they stated that there a process that need to be done, so they recommended that they need to be at the facility weekly to eliminate the ongoing pest’s issue. S1 spoke to ED regrading Clark recommendation, and ED agreed/approved with Clark recommendation.

Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegations are UNSUBSTANTIATED.

Exit interview conducted with ED and copy of this report provided via email.

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