Complaint Investigation Report

374603752-12-19-2022-08-AS-SJAB-CMJS2A-20221228122911

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/08/2022 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20221208092714

Facility staff are not following Covid-19 safety protocols.

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegation. LPA was met and granted entry into the facility by Administrator Ramirez to whom was explained the reason for the visit.

The Department’s investigation consisted of outside source interviews and LPA observations.

It was alleged that staff are not following COVID-19 safety precautions An interview with an outside source (OS1) revealed that during a facility visit a staff member was not wearing a mask. LPA conducted an unannounced visit on December 14, 2022 to open the investigation in regard to the above listed allegation and observed the property owner in the facility not wearing a mask.

A deficiency was cited Per Title 22, Division 6, Chapter 8 of the California Code of Regulations (see LIC9099-D). An exit interview was conducted with Administrator Ramirez to whom a copy of this report and the Licensee appeal Rights (LIC9058) were provided.