Complaint Investigation Report
The allegation alleges that in a resident’s room the shower head is not in working condition and spays outside of the shower getting the floor wet and the handle on the closet in the room is broken.
During the facility inspection LPA observed the handle on the closet door in room 245 was broken with the broken piece lying on the window ledge next to the closet. Additionally, LPA and Staff turned on the shower in room 245 and it sprayed outside of the shower.
During record review, LPA received and reviewed the Maintenance and Equipment Request Forms for repairs dated 04/19/2026 for room 101, 02/26/2026 for room 104, 02/23/2026 for room 118, 02/02/2026 for room 227, and 01/24/2026 room 101. Additionally, LPA received and reviewed Maintenance Request that lists the following repair description and repairs dated 01/03/2026 for window screens in the memory care, 01/23/2026 for the AC in memory care, 04/28/2026 for new blinds in room 120, and 04/30/2026 new room key for new resident move in.
During interviews with Staff S1-S7, were asked if any part of the facility is in disrepair, five (5) out of seven (7) stated no, the facility is not in disrepair. Two (2) out of seven (7) stated there are items that need repaired including the closet handle and shower in room 245 and a ceiling tile that came down in the activity room.
During interviews with Residents R1-R12, were asked if they felt the facility is in disrepair, twelve (12) out of twelve (12) stated no, the facility is not in disrepair
During the course of the investigation, LPA was able to find evidence to support the allegation. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulation, (Tittle 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D.
An exit interview was conducted with Ace Huyhn, Executive Director, and a copy of this report and the Appeals Rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction