Complaint Investigation Report

157208773-1-18-2024-24-AS-SPIY-D29QM6-20240208111700

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

11/09/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20231109083251

Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA identified herself and explained the purpose of the visit with Activities Director Candaleria Carrillo. Administrator Ramona Eleco responded to the faciltiy to assist with the visit.

LPA conducted staff and resident interviews.

Based on interviews, Staff are serving cold meals to residents that have meal tray service to their rooms.

Based on interviews, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted with Administrator Ramona Eleco and a copy of this report along with appeal rights and plan of correction were provided.