Complaint Investigation Report

286804135-12-17-2024-21-AS-BMOS-DCNQJM-20250106111258

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

12/15/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20241215233924

Staff did not properly notify of alterations to the facility grounds

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with staff Kamille Nastor and toured the building. LPA observed a construction project in the garage that is adding 2 additional rooms. A permit for the project was obtained on October 26, 2024, however, the Licensee did not notify the Department of alterations to the building.

Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Kamille and Appeal rights were given.