Complaint Investigation Report

Based on interviews, Administrator Gil and staff, 5 of 6 staff stated there is water coming from ceiling in certain areas at the facility also causing damage to the floors. In regards to flooring Gil and 6 out of 6 staff stated floor is not in good repair and needs to be fixed.

Interview with Social Worker stated they informed Administrator about R1's room ceiling over a month ago and ceiling having cracks and holes creating causing water to enter posing as a healthy and safety to resident. LPA interview with Contractor who is appointed to repair flooring states flooring has an issue and company will work on fixing damage floor. In addition, LPA Calderon observed ceiling tiles and floor tiles having holes, cracks and missing pieces. Ceiling tiles in disrepair were observed in first floor hallway, resident's rooms and medicine tech room. Floor tiles on the first floor heading to cafeteria was in despair posing a safety and health hazard to resident's in care.

Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated and the California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099-D. LPA issued Civil Penalty on LIC421FC.

Exit interview conducted and a copy of this report and Appeals Rights was provided to Administrator Gil Agas.