Complaint Investigation Report

075600819-3-21-2025-15-AS-KHOS-DFHMSN-20250407095213

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

03/18/2025 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20250318135400

Staff do not provided an adequate amount of food to the residents in care

Staff are not providing adequate sleeping accommodations to residents

On 03/21/2025 at 1:45 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with Administrator Leonora Moneja.

During the initial 10-day complaint visit. LPA interviewed staff, and observed two days of perishable and seven days of non-perishables foods at the facility. LPA tour the facility and observed four resident bedrooms two single rooms and two shared rooms with a total of six beds for the six residents. Each bed is equipt with sheets and bedding for residents.

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

Exit interview conducted and a copy of this report provided.