Complaint Investigation Report
Allegation: Facility floor is in disrepair
On 03/29/2024 LPA observed cracks in the flooring, tape, nails and floor molding lifting up. LPA observed in multiple resident rooms that the tile flooring had tape attached to the floor tiles. LPA observed tape, nails and the floor molding lifting at the end of the hall towards kitchen.
Allegation: Facility staff did not report incident as required
On 03/29/2024 LPA reviewed Unusual Incident that was reported to CCLD on 11/16/2023. LPA interviewed S2, who gave a copy of the facility internal report. S2 confirmed that a SOC 341 was not completed and therefore the incident was not reported to the local ombudsmen.
Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED .
California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D.
Exit interview conducted with Administrator. Appeal rights and copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction