Complaint Investigation Report

019200513-1-6-2022-15-AS-KHOS-CB4LFC-20220128074255

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

01/05/2022 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20220105082452

Ruth Ocon, Administrator/Executive Director

On 01/06/22 at 2:50PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an unannounced complaint visit, met with administrator/executive director (ADM) and explained the purpose of the visit.

LPA toured the Salem Woods building with ADM to inspect the exterior doors. LPA observed both exterior doors were not opening automatically. LPA observed ADM tried to use FOB keys to open the doors which did not work along with broken handicap plates that do not open the doors from the inside automatically located on the other side of the building. ADM stated she has been working with 2 specialty door companies since March 2021 with exterior doors still not functioning properly. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided via email.