Complaint Investigation Report
079200741-1-12-2024-15-AS-KHOS-D2DNLP-20240212093351
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
01/11/2024 and conducted by Evaluator Grace Luk
COMPLAINT CONTROL NUMBER: 15-AS-20240111081809
On 1/12/2024 at 9:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegation above. LPA met with Administrator, Marcelina Badeo and informed her of the reason for the visit.
During the course of investigation, LPA interviewed 1 resident, 1 staff, and complainant. Interview with staff revealed that smoke detectors were removed about 3-4 days ago and new smoke detectors were installed yesterday, 1/11/2024. LPA observed purchase receipt for smoke detectors dated 1/10/2024.
Based on LPA's information obtained during investigation, 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 conducted. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction