Complaint Investigation Report

197609899-9-7-2022-31-AS-NGID-CJMV3H-20220926160447

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/14/2022 and conducted by Evaluator Melissa Ruiz

COMPLAINT CONTROL NUMBER: 31-AS-20220714130059

Hazardous chemicals were not kept in a safe and locked place.

On 9/7/2022 at 12:00 p.m., Licensing Program Analysts (LPAs) Melissa Ruiz and Evelin Rios arrived at the facility to conduct an unannounced subsequent complaint investigation. The purpose of this visit is to add additional information regarding complaint # 31-AS-20220714130059. Upon arrival, LPAs were granted entrance to the home by a staff. Staff notified the Administrator of the purpose of the visit and Administrator designated staff Jenny to sign this report.

It was alleged that "Hazardous chemicals were not kept in a safe and locked place." This allegation was substantiated on a visit conducted on 7/21/22 by LPAs Ruiz and Stamps. A deficiency was also issued. On 7/21/22, LPAs toured the laundry room with staff and LPAs observed staff unlock the laundry room with the key that is kept hanging next to the laundry room door. LPAs observed laundry detergent and chemicals stored in the laundry room. Due to the key being hung next to the laundry room door, which stores chemicals and detergents, the allegation is substantiated. No deficiencies issued during today's visit. Report signed and delivered.