Complaint Investigation Report
079201047-2-10-2023-15-AS-KHOS-CP2SPM-20230214130321
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
02/08/2023 and conducted by Evaluator James Sampair
COMPLAINT CONTROL NUMBER: 15-AS-20230208084824
Facility staff did not follow COVID-19 protocols.
On 02/10/2023, Licensing Program Analyst (LPA) J. Sampair arrived unannounced at 2:43PM to conduct a complaint investigation of the allegation above. The LPA met with Gladys Enriquez.
During the investigation, the LPA conducted interviews of 3 staff members and 2 witnesses.
Based on the interviews conducted, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED.
Two (2) citations were issued (refer to LIC 9099D).
Exit interview conducted and copy of this report provided via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction