Complaint Investigation Report

306004335-12-17-2024-22-AS-AORZ-DC5TE5-20241220133919

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

12/16/2024 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20241216083237

Facility staff are not ensuring that trash is removed from the property.

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

During the course of the visit, LPA toured the facility and interviewed Administrator. Regarding the allegation that facility staff are not ensuring that trash is removed from the property, the investigation revealed the following: Upon arrival to the facility, LPA observed a broken book shelf and some miscellaneous debris outside the facility. Administrator indicated there was a scheduled pick up for the items on 12/20/2024. LPA observed a van in the driveway. Administrator stated the facility has not used the van for residents in approximately 5 years and is simply parked in the driveway. LPA observed some boxes inside the van. Based on interview conducted and observation, the preponderance of evidence standard has been met, therefore above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report was left at the facility along with appeal rights.