Complaint Investigation Report

019200513-1-4-2022-15-AS-KHOS-CKBNWN-20221018104951

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

01/03/2022 and conducted by Evaluator Leslie Ibo

COMPLAINT CONTROL NUMBER: 15-AS-20220103102247

Ruth Ocon - Administrator & Joan Nisperos - nurse

On 01/04/2022 Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct complaint investigation for the allegation above. LPA met with Administrator Ruth Ocon and nurse Joan Nisperos.

LPA toured the facility to check random bedrooms and common areas, LPA observed facility thermostat was set up for 80 degrees Fahrenheit. LPA observed that residents was provided with small heaters and extra blankets. LPA conducted interview with staff and residents, based on the interview, on 12/29/2021 staff noticed 3 bedrooms that do not have electricity and the circuit breaker was turning on and off, Administrator then called electricians to assess the situation, on the same day there was a planned power shut off for atleast 2-3hrs to fix electrical circuit .

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

No deficiencies are being cited on this date.

Exit interview conducted with Joan Nisperos. A copy of this report provided.