Complaint Investigation Report
079200290-12-12-2023-15-AS-KHOS-CZ5HQE-20240103052349
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
12/11/2023 and conducted by Evaluator James Sampair
COMPLAINT CONTROL NUMBER: 15-AS-20231211090200
Staff did not ensure that facility had a proper lock on the front door of the facility.
On 12/12/2023 at 03:05 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the initial 10-day complaint inspection of the facility pertaining to the allegation above. Upon arrival, LPA stated the purpose of the visit to Caregiver Brianna Sapp and Caregiver Monique Alcindor, then stated it again to Licensee/Administrator Kamilla DiStefano over the phone at approximately 3:15 PM.
The complainant alleged that staff did not ensure that facility had a proper lock on the front door of the facility. Shortly after entering the facility, the LPA confirmed that two locks were on the front door. One was the standard lock, which was safe. The other lock was a "butterfly" type of lock that caregivers commonly use to stop residents from exiting and therefore not safe.
The preponderance of the evidence standard has been met, and the allegation is SUBSTANTIATED. One (1) Type-B citation was issued (refer to LIC9099-D for details).
Exit interview conducted and a copy of this report provided for Administrator/Licensee via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction