Complaint Investigation Report
306005978-6-21-2022-22-AS-LADS-CGJTGK-20220721144316
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CCLD Regional Office , 770 THE CITY DR., SUITE 7100
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/15/2022 and conducted by Evaluator Jerome Haley
COMPLAINT CONTROL NUMBER: 22-AS-20220615142756
Licensing Program Analyst (LPAs) Jerome Haley and Joseph Alejandre made unannouced visit to this facility to intiatate the investigation for the complaint received against this facility on June 15, 2022. LPAs were greeted, granted entry by staff and explained the reason for the visit.
LPA's interviewed staff and Administrator (AD) Tawfik regarding the complaint allegation. The investigation revealed the following: LPAs observed a broken center window in the living room is broken and cracked.The center window is currently covered with plastic and tape. LPAs observed a broken window in bathroom number 1 that is covered with plastic and tape. LPAs observed a broken window in the rear entry way that has also been covered with Plastic and tape. Administrator Tafik stated the windows have been broken for at least a week. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6, Chapter 1. An exit interview was conducted with Administrator Tafik and a copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction