Complaint Investigation Report

157202769-10-24-2022-24-AS-SMOA-CLALAC-20221118073454

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

07/21/2022 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20220721123503

Staff did not keep the facility free from rodents

On 10/24/22 Licensing Program Analyst (LPA) M. Garza arrived at facility unannounced to deliver findings on the allegations listed above. LPA introduced self, was COVID pre-screened and permitted entry into the facility. LPA met with Director, Alicia Webb and explained reason for visit. LPA completed a tour of the facility and completed a health and safety check on residents in care. Residents observed in common areas and in rooms.

During investigation LPA completed interviews, obtained records (resident roster, staff roster w/contact information, pest control receipts for May-July 2022, June/July kitchen schedule, kitchen cleaning schedule, maintenance log for May-July). 2 of 3 staff interviews indicated there was a rodent problem in the facility. Staff indicated when they noticed the issue it was reported. Pest control was then called for maintenence. LPA reviewed pest control records. Records indicated the facility has monthly pest control. Based on LPA’s interviews and records reviewed, although the allegation may of may not have occurred the preponderance of evidence standard has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. No deficiency cited during today’s visit. Exit interview completed with Director, Alicia Webb. A copy of this report was provided.