Complaint Investigation Report

342700903-2-23-2023-27-AS-KHOS-CR8GV8-20230425054013

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

01/18/2023 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20230118092636

Facility staff does not provide resident(s) with clean linens.

Licensing Program Analyst (LPA) Renee Campbell and Licensing Program Manager (LPM) Liza King arrived at the facility at 10:54 am to follow up on a complaint investigation. LPM met with a staff member and toured the facility including the resident bathroom, kitchen, 4 resident rooms..

During the Facility Tour, LPA and LPM noted a strong urine odor. However, clean linens were seens on the beds in residents rooms and observed clean linens stored in the laundry area. Beds were made and appeared to be clean. Although clean linen was present, a citation was issued for a broken washing machine in a case management during today's visit.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited for the allegation that the staff does not provide residents with clean linens.

Exit interview conducted. Report provided.