Complaint Investigation Report

342701059-9-7-2022-27-AS-KHOS-CJ8MGV-20220913093633

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

09/01/2022 and conducted by Evaluator Victoria Brown

COMPLAINT CONTROL NUMBER: 27-AS-20220901144758

Facility has an infestation of insects and rodents

Facility failed provide a safe and comfortable environment for residents

Licensing Program Analyst Victoria Brown arrived unannounced on 9/7/22 at 8:30am to conduct an investigation of the above mentioned allegations. LPA met with Patricia Matias and stated the purpose of the visit. LPA conducted a tour of the home, interviewed Administrator, Staff 1, 3 residents present in the home and 2 neighbors during this visit.

LPA observed the Licensee is using rock salt and a white powder around the rim of the home to combat the fleas as well as having a pest control come out on 7/9/22. The next door neighbors have a dog so it is unclear where the possible fleas are coming. LPA did not observe bedbugs in the residents room. Based on observations and interviews the facility is not found at fault for the allegations mentioned above. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was conducted, and a copy of this report was provided.