Complaint Investigation Report

167202434-8-30-2024-24-AS-SMOA-D8SP5K-20240904110053

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

06/03/2024 and conducted by Evaluator Alexandria Walton

COMPLAINT CONTROL NUMBER: 24-AS-20240603123644

Staff did not address a bed bug infestation

Staff do not keep the facility clean and sanitary

Staff do not keep the facility free from odor

Staff are retaining residents that require a higher level of care

On 08/30/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Jill Marmon.

During the course of this complaint investigation, LPA conducted a tour of the facility, reviewed records, and conducted interviews. Based on record reviews and observations made during the facility tour, the allegations: Staff did not address a bed bug infestation, Staff do not keep the facility clean and sanitary, Staff do not keep the facility free from odor, and Staff are retaining residents that require a higher level of care are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies issued. Exit interview conducted. Report was signed on-site and a copy of this report was provided to Administrator, Jill Marmon.