Complaint Investigation Report

374604368-11-9-2022-18-AS-DMUN-CLDKZG-20221121072040

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

10/31/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20221031162036

Staff did not ensure that hazardous items were inaccessible to clients.

On November 9, 2022, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit for the purpose of investigating the above allegation. At the time of visit, LPA met with Administrator, Michelle Mitchell and explained the purpose of the visit. During this investigation LPA interviewed reporting party (RP), staff, and conducted an inspection of the facility.

Regarding the allegation “Staff did not ensure that hazardous items were inaccessible to clients”. Interview with RP revealed during RP’s visit to the facility, a cleaning solution was found under resident #1 (R1) bed. LPA interviewed Administrator and staff who admitted the cleaning solution was left under residents’ bed by mistake. Administrator stated the cleaning solution was immediately locked up and made inaccessible to residents. LPA conducted an inspection of the facility and observed the cleaning solutions to be adequately secured.

Based on LPA’s interview the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) are being cited on the attached LIC 9099D). An exit interview was conducted, and a copy of this report was reviewed with and provided to Michelle Mitchell.