Complaint Investigation Report

079201176-9-15-2023-15-AS-KHOS-CW9LFK-20231003084317

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

09/12/2023 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20230912113556

Kristabelle Alatas, Corperate board member

Staff did not ensure that facility medicine cabinet has a lock

On 09/15/2023 at 1:05 PM, Licensing Program Analysts (LPA), J. Clancy-Czuleger and Alona Gomez arrived unannounced to deliver complaint findings for the above allegations. LPA met with Kristabelle Alatas, Corperate board member and explained the reason for the visit.

During the course of investigation, LPA obtained information, collected documents and interviewed _ staff. Based on LPA observation the facility is not locking the medication cabinet in a way that is inacsessable to the residents. There is a chain wraped around the knobs that falls off with the lightest touch.

On the allegation facility staff did not ensure that facility medicine cabinet has a lock 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.