Complaint Investigation Report

157209103-5-22-2025-24-AS-SPIY-DK5TE9-20250801143934

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

02/21/2025 and conducted by Evaluator Rachel A Bruce

COMPLAINT CONTROL NUMBER: 24-AS-20250221090844

Licensee did not ensure facility plumbing was in good repair.

On 5/21/2025, Licensing Program Analyst (LPA) conducted unannounced inspection and met with Latecha Thompson, Caregiver. The purpose of the visit is to deliver findings on the above allegations.

During the course of this complaint investigation LPA conducted an inspecation, spoke with staff and residents, and obtained and/or reviewed facility records. Based on the investigation it was found that the facility did encounter a plumbing issue that was impactful to both staff and residents as the water was backed up and only one restroom was functional.

Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached LIC 9099D.

An exit interview was conducted and a copy will be provided to the Administrator by email.