Complaint Investigation Report

Client interviews, supported by LPA observation, showed: Licensee typically served clients enough food to satisfy their hunger at breakfast and dinner meal periods. However, the lunchtime meal typically consisted of a small sandwich and one piece of fruit, which left some clients still hungry. Weight records over the past year showed that clients generally maintained stable body weight from one month to the next.

During his 03/24/2025 site visit, LPA measured hot water temperature from both the Kitchen and the common area Bathroom faucets, finding both were initially too cold. The Kitchen tap was initially 102.4 F, and the Bathroom tap was initially 100.9 F. Regulation required hot water in these locations to be maintained at between 105 F and 120 F. During today’s visit, adjustments were made to the facility’s water heater to bring the hot water temperature into the compliant range.

During his 03/24/2025 site visit, LPA observed: Windowsills in Bedroom #1 were visibly dirty (beyond just dust). Sections of walls beside a clients’ bed, located in Bedroom #2, were dirty/stained. Inside the medicine cabinet of the common area Bathroom was evidence of a cobweb and significant dirt material. Behind some boxes in the facility’s living room, where the administrator’s desk was located, LPA observed a few dead flies and dirt. Licensee had placed one (1) roach trap on the kitchen floor. Per staff interviews, staff clean and mop the facility daily, but they still see an occasional roach.

Based on records and interviews, a preponderance of evidence exists to show that Licensee did not always provide clients with enough food to eat, that Licensee did not provide clients with hot water, and that Licensee did not maintain facility cleanliness. These allegations were therefore Substantiated. Three (3) deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D pages). Plans of Correction were jointly developed with the Licensee.

An exit interview was conducted with Licensee Lydia "Lyn" Abille, to whom a copy of this report, the LIC 9099-D pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.