Complaint Investigation Report

157209516-4-29-2026-24-AS-SMOA-DTTN69-20260506101042

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

04/03/2026 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20260403093954

Facility washers and dryers are in disrepair

On 4/29/2026, Licensing Program Analysts (LPAs) M. Medina and M. Garza conducted an unannounced subsequent complaint visit to facility. LPAs introduced themselves and stated purpose of visit, LPAs met with Administrator, Brittany Kavanaugh via telephone and gave permission for visit to be completed with Wellness Director, Elizabeth Vasku.

During visits LPAs toured facility, completed interviews, requested and reviewed documentation (staff schedules, resident roster, invoices, staff training records).

During facility tour on 4/11/2026, LPAs observed the following in the assisted living building, 2 washers and 1 dryer that were inoperable, in the memory care building of the facility 1 washer and 1 dryer that were inoperable.

The allegation listed above have met the preponderance of evidence standard per California Code of Regulations, Title 22. The allegations are SUBSTANTIATED. Deficiencies cited on 9099D. If not corrected, the deficiencies have a direct impact to residents in care.

Exit interview completed with Wellness Director and Administrator via telephone. A copy of this report provided.