Complaint Investigation Report

107206629-3-23-2023-24-AS-SMOA-CR9L2Q-20230426082242

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

01/25/2023 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20230125111028

Facility is not meeting residents hygiene needs

On 3/23/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Administrator, Maria Ceballos. LPA introduced self, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. Residents observed in common areas and in rooms.

During the investigation interviews were completed with staff, documentation was requested and reviewed. Based on interviews completed, documentation reviewed and LPA observations R1’s hygiene needs are not being met. The above allegation is found to meet the departments preponderance of evidence standard per Title 22 and is found to be SUBSTANTIATED. Deficiencies cited on LIC 9099D.

Exit interview completed with Administrator, Maria. A copy of this report and appeal rights given.