Complaint Investigation Report
107209035-3-26-2025-24-AS-SMOA-DF6NR9-20250327104107
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
03/19/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250319083306
Staff do not ensure the facility is free of hazards
Staff are not following resident's care plan
On 3/26/25 at 12:00 pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with General Manager (GM) Michelle Ramos and Health Services Director (HSD) Lori Johnson and stated purpose of visit.
The Department reviewed records and conducted an interview with facility GM. The Department toured the facility and checked the dining area. LPA observed dining tables over the outlets. GM and Kitchen staff stated residents move the table and expose the outlets. GM has ensured that kitchen staff keep the tables above the outlets to prevent exposure.
The Department reviewed records and conducted an interview with HSD. Upon interview and records reviewed, S1's frequency of showers increased, however her rate of pay did not increase.
Although the allegations 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 General Manager which confirms signature of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction