Complaint Investigation Report

This page is being amended as some information was left out inadvertently. LPA will request from licensee signature via email. On the allegation that the facility is in disrepair; it is the concern of the reporting party that it was observed that the home is in poor physical condition, specifically the following items: 1) broken unused car being stored on the driveway; 2) broken basketball hoop on top of the garage; 3)completely worn-out carpet in the den area; 4)the kitchen cabinets are very dirty and broken, and 5)broken ceiling fan in one of the bedrooms. To investigate the allegation the LPA and the designated staff conducted a physical plant tour to address the observe the physical plant. The designated staff stated that the licensee is in process of making improvements to the facility. The LPA observed the items listed 2, 4, and 5 to be in need of repair/removed. However, the car parked in the driveway does not obstruct passageway for the fire clearance. The carpet in the den does have one spot that appears ripped and needs repair, but mostly the carpet needs to be shampoo. Additional items that need to be replaced, cleaned and repaired are- the bedrooms’ window blinds and kitchen blinds need to be replaced. Bathroom bottom of cabinets, peeling paint needs to be fixed. Wall kitchen area above the stove needs to be cleaned. Sliding door screen needs to be replaced. Side wooden gate needs to be repaired, as the wood is splintered and the wooden slats are falling apart. The LPA spoke with the licensee on the phone and explained the deficiencies and correction date, and the licensee stated that the kitchen cabinets will be repaired, and doors replaced. Top of the kitchen counter will be redone. All deficiencies will be corrected by the end of February 2026.

Based on observation, the allegation that the Facility is in disrepair is deemed Substantiated at this time.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations (CCR) Title 22 and/or California Health and Safety Code (HSC). Failure to correct the deficiencies may result in civil penalties.

Exit interview was conducted and a copy of the report and Appeal rights were issued.