Complaint Investigation Report

366405789-12-14-2021-18-AS-KCLS-DLCW5E-20250909165858

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

12/13/2021 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 18-AS-20211213093806

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding an allegation that the facility is messy. LPA met with licensee Adelaida Galasinao and toured facility. LPA Prieto observed clutter of furniture and other items outside the facility in the front area of the home. MS. Galasinao states that arrangements have been made to remove those items, but have been in the front area for several days.

Based on LPA observations and interviews preponderance of evidence standard has been met to substantiate allegation that the facility is messy. Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division & Chapter number) are being cited on the attached LIC 9099D).