Complaint Investigation Report

306000059-10-10-2024-22-AS-AORZ-D9XVA7-20241011161527

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

01/06/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230106134015

Facility does not provide a safe environment for residents and staff

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA Quiroz toured the facility and interviewed staff, residents and witness. Regarding the allegation that facility does not provide a safe environment for residents and staff, the investigation revealed the following: LPA Quiroz observed multiple instances of physical plant issues including open ceiling areas, stains, leaks, and tarped areas in 10 resident rooms. Ten out of ten witnesses interviewed state leaking issues have been going on for over a year and indicate health and safety concerns for residents. Based on the evidence gathered through observations and interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. Facility is being cited per California Code of Regulations Title 22, Division 6, Chapter 1.

An exit interview was conducted and a copy of this report as well as appeal rights were provided at exit.