Complaint Investigation Report

198600180-4-13-2022-28-AS-LHIS-CEHGUK-20220517053916

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

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

04/04/2022 and conducted by Evaluator Noemi Galarza

COMPLAINT CONTROL NUMBER: 28-AS-20220404105132

Licensing Program Analyst (LPA) Galarza conducted an initial 10-Day complaint visit to investigate the above allegations.The purpose of the visit was discussed with staff Rosana Flordeliza. Administrator Adelina Esguerra was explained the purpose of the visit and interviewed telephonically.

The investigation consisted of: LPA toured the interior and exterior physical plant. Staff (S1-2) and clients (C1-C6) were interviewed. Pictures of the exterior physical plant were taken. Client roster and LIC 500 Personnel Report were obtained.

Allegation: Facility window is in disrepair. Based on physical plant observation and interviews conducted the findings indicate that the 2 rooms located in the front of the home have old vertical glass panels that do not seal properly, and is allowing cold and hot air inside. Three out of six clients in care confirmed the window is in disrepair. In addition, the kitchen window screen is torn. It is alleged that Administrator discourages clients from turning on the heater in order to save energy. Based on observation and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is cited. See LIC 9099D. Exit interview was conducted with staff Rosana Flordeliza. A copy of the report and appeal rights were provided.