Complaint Investigation Report

Maison de Fleurs, Covina06/01/2023Licence 198603189

Census5
Date signed06/01/2023 01:39:27 PM
Name of licensing program analystBonnie Tao
Name of licensing program managerFernando Fierros
The inspector’s account

Per facility record reviews, an authorization/ power of attorney was provided to licensee along with the record request dated 05/18/23. Licensee had not provided the requested documents to authorized representative as of today, 06/01/23. Therefore, facility failed to provide resident’s records to the authorized representative within two (2) business day.

Based on LPA's observations, record reviews and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found SUBSTANTIATED.

Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8 on LIC 9099D.

An exit interview was conducted with staff#1. A hard copy of this report and appeal right were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction