Complaint Investigation Report

107209035-3-7-2025-24-AS-SMOA-DEPKMM-20250312080145

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

03/03/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250303085132

Facility staff does not ensure facility is in odorless condition at all times

Facility staff does not ensure facility carpet is in good clean condition

On 3/7/25 at 12:30 pm Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegations. LPA met with General Manager (GM) Michelle Ramos and stated purpose of visit.

The Department reviewed records and conducted interviews with staff, residents and facility Administrator. LPA toured the facility including the 2nd floor. Upon observation, there were no visible stains on the carpet and did not smell any abnormal odors.

Based on interviews, GM did confirm the stains were from urine from the resident’s dog that was incontinent. GM states, maintenance staff has cleaned spots on the ground in less than 24 hours and floor has been free from any abnormal odors. GM states the facility informed the Resident’s family that the dog would need to wear diapers to keep the carpet clean. Per GM, the Resident was having trouble putting on the diaper on the dog and since then the Resident submitted a 30 day notice. The Resident and the dog moved out as of 2/28/25. A housekeeping schedule has been submitted to LPA.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to GM which confirms signature of report.