Complaint Investigation Report

019201054-4-30-2024-15-AS-HHUL-D53P6N-20240508110238

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

04/22/2024 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20240422150459

Facility is not storing an adequate amount of food for residents in care.

On 4/30/2024 at 9:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with staff. Administrator Mariano Alatorre was called and joined later.

During the initial 10-day complaint visit, LPA observed the facility did not have sufficient food supply. The freezer in the kitchen and the freezer in the laundry were both half empty. The additional food supply is locked in a storage closet and when it was opened it was observed half stocked. LPA observed the kitchen pantry was not well stocked.

Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 has been cited.

Exit interview conducted. A copy appeal rights, and this report provided.