Complaint Investigation Report

019200513-1-19-2023-15-AS-KHOS-CNDP6C-20230124100209

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

12/01/2020 and conducted by Evaluator Lisha Holmes

COMPLAINT CONTROL NUMBER: 15-AS-20201201091707

On 01/19/23 at 12:20 PM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced visit to deliver complaint findings. A Facetime video conference was conducted by LPA D. Panlilio on 12/09/2020 in order to meet the initial 10-day complaint notification for the above allegation(s). LPA explained the purpose of the visit and met with Anthony Garcia, Executive Director.

During course of the investigation, the Department conducted interviews and record reviews. Three similar complaints was addressed. Complaint #15-AS-20200923100527 received 09/23/2020, #15-AS-20210416154529 received 04/16/21, and #15-AS-20210507092956 received 05/07/21. The noted complaints were received before and after the above allegations. The complaints were substantiated.

According to S2, vermin (roaches) were observed in the kitchen elevator and bathrooms. Records revealed that the facility had a documented history of pests over the course of 9 months. The facility was cited with a plan of correction.

Based on interviews conducted, records received, and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.