Senior Care Records.

Complaint Investigation Report

Bloomington Care Center INC, Bloomington03/21/2023Licence 366427230

Census4
Date signed03/21/2023 04:43:18 PM
The inspector’s account

366427230-3-21-2023-56-AS-KCLS-CQUTCS-20230413143711

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

03/14/2023 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20230314095023

Staff did not keep the home free from odor

Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility to commence a complaint investigation and deliver findings. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with caregiver Lilibeth Santos.

LPA toured the facility and there were there was five (5) bedrooms in total. There was one (1) room not occupied by a resident which is room #4 per the facility sketch. During the tour of the facility all clients bedrooms kitchen,bathrooms and family rooms were clean and free of oders.

Based on the investigation observations, the above finding is Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted and discussed with Lilibeth Santos at the conclusion of the visit and a copy was provided with appeal rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction