Complaint Investigation Report

157209062-7-13-2023-24-AS-SPIY-CTVKLN-20230719080012

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

07/07/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20230707093626

Licensing Program Analyst (LPA) Shawna Doucette arrived unannounced to conduct a complaint investigation. LPA explained reason for inspection and was granted entry by Administrator Winigelda Ogletree. LPA met with Administrator Winigelda Ogletree.

LPA interviewed the Administrator who confirmed the toilet is loose. LPA toured the facility and observed the front bathroom toilet to be loose.

Based on observation and interviews, the preponderance of evidence standard has been met; therefore, the above allegation is 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 Winigelda Ogletreeand a copy of this report along with appeal rights and plan of correction were provided.