Complaint Investigation Report

277209241-10-19-2024-24-AS-KHOS-DBUKLT-20241211070027

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

10/15/2024 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20241015104513

Facility has no hot water or heat for the residents

On 10/18/2024, Licensing Program Manager (LPM) Brenda Chan and Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a subsequent visit and met with Business Office Manager (BOM) Melissa Arango to deliver findings of above allegation. LPA explained the purpose of the visit.

Allegation: Facility has no hot water or heat for the residents.

Based on observations, interviews, and records reviews residents did not have access to hot water on 10/14 (98 degrees F), 10/15 (98 degrees F) and 10/17 (97 degrees F) in South Wing Building due to boiler stops hearting water and has to be reset mannualy by staff. The facility's broiler igniter is not working properly, and the facility has been intermittently without hot water in the South Wing Building. Based on interviews conducted, observation, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations being cited on the attached LIC 9099-D

Exit interview conducted, copy of this report provide to facility with Appeal Rights