Complaint Investigation Report

079200764-1-13-2023-15-AS-KHOS-CN6QCE-20230117110259

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

11/03/2022 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20221103150711

1. Staff does not ensure cleanliness and adequate maintenance of facility.

On 01/13/2023, Licensing Program Analyst (LPA) J. Sampair arrived at the facility unannounced to deliver the findings of the investigation into the allegatins above. LPA met with Staff Stellah Christopher and explained the purpose of this follow up visit.

During the investigation, LPA observed garden soil on the sidewalk; tools, plywood, and wood planks in the back and sides of yard; and various broken items including chairs left inside and outside in areas accessible to clients in care that pose potential health and safety risk to persons in care.

Based on the LPA's observations, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview was conducted and a copy of this report provided via email.