Complaint Investigation Report

157208773-3-22-2024-24-AS-SPIY-D4FNGU-20240418102744

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

03/14/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20240314094806

Facility is not maintained in a clean and sanitary condition.

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 Administrator Ramona Eleco.

LPA toured the facility. LPA took photos of toilets and showers in residents rooms and mold in community shower.

Based on observation, Facility is not maintained in a clean and sanitary condition. Based on observation, 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. Civil Penalty was issued for repeat violation.

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.