Complaint Investigation Report

079201085-4-11-2025-15-AS-KHOS-DGNM7H-20250514092134

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

04/08/2025 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20250408105523

Staff did not follow communicable infection protocols

On 04/11/2025 at 1:30PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with Executive Director Kim Sor.

On the allegation facility staff did not follow communicable infection protocols. Based on record review and interviews the facility did have one resident who received a diagnosis of noro virus but was in the hospital for the entirety infectious period. When the resident returned the facility did their enhanced cleaning protocol and kept a close eye on other residents and staff and there have been no other confirmed cases.

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.