Complaint Investigation Report

R4 stated R4's clothing have gone missing after being laundered and have not been given back. R4 advised R4 inquired missing clothing to staff but staff did not know and told R4 they had not seen it. S1, S2, and MAN stated staff will and have used disposable underwear from another resident's supply if the resident being changed has run out of their own disposable underwear supply. LPA observed cockroach nymphs scatter after pulling away plastic crate stored under commercial stainless kitchen sink and observed cockroach droppings covering entire floor where crate was stored. Therefore the above allegations are substantiated.

Deficiencies are being cited based on LPA observations, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC9099D.

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Licensee Jonathan Johnson, whose signature on this form confirms receipt of these documents.