Complaint Investigation Report

342700903-10-5-2022-27-AS-KHOS-CLWSVB-20221208131226

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/17/2022 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20220817141052

Facility does not provide residents adequate food (no snacks).

On 08/31//2022 at 10 am, LPA Campbell and LPA Bilger came to facility unannounced to continue a complaint investigation for the allegations noted above. LPA's met with Administrator Justice Ehimamiegho and explained the purpose of the visit. Facility observation was completed on 8-19-22. In addition, Administrator and Staff1 (S1) were interviewed on 8-19-22.

Allegation #1 Facility dishes are not properly washed. Based on interviews, it was determined that facility dishwasher was not functioning properly for over 1 week.. LPA observed that staff was hand washing dishes and based on interview found that they were not using a proper sanitizing agent per regulatory requirements.. As a result, the preponderance of evidence standard is met, therefore this allegations is SUBSTANTIATED.

Allegation #2 Facility does not provide residents adequate food (no snacks). During a tour of the facility's kitchen area and outside storage area, LPA observed a locked shed. When staff opened the shed upon request, LPA observed an inadequate amount of snacks necessary for the amount of people in the facility. Additionally, LPA observed an inadquate amount of snacks available in the kitchen area. Based on observation, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.