Complaint Investigation Report

079200915-5-16-2024-15-AS-KHOS-D5YGDF-20240606051505

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

05/08/2024 and conducted by Evaluator Laura Hall

COMPLAINT CONTROL NUMBER: 15-AS-20240508080746

Nicole Saures, Direct Support Professional

Facility does not have an adequate food supply.

On 5/16/2024 at 10:15am, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct the 10-day initial visit and to deliver complaint findings for the allegation above. LPA met with Nicole Suares, Direct Support Professional (DSP) and explained the reason for the visit. Administrator, Alfredo Limjoco, arrived at 12:05pm.

During the investigation LPA interviewed staff and clients. LPA obtained a staff schedule and the food menu. Based on observation LPA did not observe and adequate food supply at the facility. S1 stated what would be cooked for clients for lunch, however, LPA did not observe those food items available at facility.

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

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