Complaint Investigation Report

374604001-1-12-2023-08-AS-JRAE-CNM25R-20230131160558

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

01/09/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230109190328

Items that pose a danger were accessible to clients in care

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to open a complaint on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Sylvia Torres, Caregiver to discuss the purpose of the visit. LPA toured the facility, reviewed records and conducted interviews. It was alleged that items that pose a danger were accessible to clients in care. Interviews with outside sources revealed that on January. 5, 2023 there were some clorox wipes, disinfectanant and also mouthwash that contained alcohol left accessible to clients. Interviews revealed the staff immediately put the items away. Interviews with staff also revealed that they were cleaning around the facility prior to cooking. Once they started cooking they had left the wipes out. The mouthwash was out from the client using it earlier that morning. Based on the evidence obtained from interviews, records review, the complaint allegation is found to be substantiated; as the preponderance of evidence proves the alleged violation occurred.

An exit interview was conducted with Sylvia Torres, Caregiver and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.