Complaint Investigation Report

079200355-6-13-2025-15-AS-YFLS-DHRS4X-20250618133330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/02/2025 and conducted by Evaluator Alona Gomez

COMPLAINT CONTROL NUMBER: 15-AS-20250502163330

Licensee does not maintain the facility in good repair

On 6/13/25 at 9:00 a.m., Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver finding complaint investigation in regard to the allegation above. LPA met with Executive Director, Lola Bullock and explained the purpose of the visit.

During prior visit LPA interviewed S1, S2, ED and HWD and found that the southside elevator has been sporadically going down over the past few years and has been increasing in how often there are outages. ED states that they have been actively implementing solutions and has a work order out for repairs. Therefore the above allegation is Substantiated.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted and a copy of this report provided.