Complaint Investigation Report
331881163-11-14-2022-18-AS-DMUN-CLNTGL-20221130134318
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2022 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20220912111656
Resident's bedroom door had lock on outside
On October 28, 2022, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit to conclude the complaint investigation into the allegation listed above. LPA met with Licensee, Myla Sevillano and Administrator, Rhellynick Sevillano and discussed the purpose of the visit. During the investigation LPA interviewed resident and staff and conducted an inspection of the facility.
Regarding the allegation “Staff sleeping in unpermitted room”. It was alleged staff were sleeping in an unpermitted room. LPA interviewed Administrator who acknowledged the dining room was being used as a staff room and had two #2 beds but was removed during the Fire clearance inspection. LPA inspected the dining room and verified the beds has been removed.
Regarding the allegation “Resident's bedroom door had lock on outside”. LPA interviewed administrator who stated the lock was put in place because resident one #1 (R1) has a mild cognitive disorder and the lock prevents R1 from wandering at night when staff is sleeping. Administrator also stated the lock was removed during the Fire clearance inspection. LPA inspected staff room and the fire door, LPA observed there was still a lock on the fire door. Administrator immediately removed the lock.
Based on LPA observations and interviews, the preponderance of evidence standard has been met. Therefore, the above allegations are found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) are being cited on the attached LIC9099D. An exit interview was conducted with, and a copy of this report was reviewed and provided along with appeal rights to Myla Sevillano.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction