Complaint Investigation Report

079200175-10-20-2021-15-AS-KHOS-C86KAS-20211026074426

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

10/19/2021 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20211019112425

On 10/20/21 at 11:40 AM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an unannounced complaint visit and met with administrator (ADM). LPA explained the purpose of the visit with ADM.

During investigation, ADM stated to LPA that staff (S1) was on administrative leave since 10/19/21 pending an internal investigation for sleeping while on duty. Another staff (S2) gave ADM a picture of S1 asleep on the night shift. ADM stated she has had several meetings with S1 and S2 since July 2021 regarding work issues as well as S1 sleeping on the job. ADM told S1 that if she sleeps on the job again, she may be terminated.

Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) was found to be SUBSTANTIATED.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.