Complaint Investigation Report

Adeline Guest Home, Anaheim05/01/2025Licence 300612904

Census4
Date signed05/01/2025 02:04:06 PM
The inspector’s account

LPA Mendivil observed mildew in the main bathroom in the hallway, 3 out of 3 staff stated the shower is cleaned daily.

LPA Mendivil observed a faucet in bathroom in shared bedroom to be loose and not properly attached to counter top.

Therefore based on observations and interviews the allegations that Staff does not ensure facility is free of pests, Staff does not ensure facility is free of mildew and staff does not ensure facility faucet is in good repair are determined to be SUBSTANTIATED meaning the complaint allegation is valid and that a violation has occurred.

The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8.

An exit interview was conducted and a copy of this report and appeal rights was provided to the facility representative.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction