Complaint Investigation Report

075601221-11-17-2021-15-AS-KHOS-C9CRVH-20211203122133

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

11/25/2020 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20201125151648

Exit doors are locked from the interior creating a hazard

On 11/10/2021 at 2:30PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced and met with Licensee Mihaela Nicula. The LPA explained the reason for the visit to Ms. Nicula. The allegation was that the exit doors were locked from the interior, which created a hazard. Based on a review of the 12/04/2020 interviews and observations of LPA Praveen Singh, before the Department had conducted its investigation, the facility was locking the exit doors from the interior and thereby creating a hazard.

Based on LPA’s interviews and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 has been cited.

Exit interview conducted. A copy appeal rights, and this report provided.