Complaint Investigation Report

197608267-8-16-2022-31-AS-MVAO-CHKUQM-20220823154721

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

01/29/2021 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20210129162251

Licensing Program Analyst (LPA), Michael Cava, conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegation. The 10 day visit was made by LPA Alex Pitz on 02/03/21, followed by a subsequent visit made on 02/10/22. It is being alleged that roaches were seen in resident's bedroom and dresser drawer. During the course of LPA Pitz's investigation on 02/10/22, ten (10) residents were interviewed to see if they've experienced or observed roaches during their stay at the facility. Nine (9) of the ten residents confirmed that they've experience and observed rats and roaches in their rooms or common areas of the facility. In addition to interviews, LPA Pitz obtained copies of service reports from a pest control company, indicating service was needed for roaches and rodents.

Based on the information obtained, there was sufficient evidence to corroborate the allegation of faciilty having roaches. Therefore, the investigation is substantiated. Citation issued on the 9099D.