Complaint Investigation Report

385600064-1-8-2025-14-AS-AMEN-DDVQPR-20250214112111

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

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

07/22/2024 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20240722104121

- Staff are not properly disposing hazardous materials

Based on information reported by and obtained from facility staff and residents, and observations made by LPAs, these allegations are substantiated. The preponderance of evidence standard has been met.

On 7/29/24, LPA Jeung observed that after turning on the water in the shower stall for 2 minutes, water pooled around the square drain under the shower head and took almost 3 minutes for water to drain completely.

Used gloves and soiled diapers/wipes were observed in uncovered waste containers. In room #2, a mirrored tri-door medicine cabinet over the sink observed with the left side mirror not secured to the cabinet and a 3 drawer chest of drawers, with 3 out of 6 pull handles missing, rendering the middle drawer unusable.

Window screens are observed not secured to windows on 11/6/24.

Hazardous waste is removed from clients' rooms in plastic bags and stored in a biohazard waste closet in covered plastic bins. However, the hazardous waste is observed in single bags, and is not double bagged. The storage closet is locked and there is a sign posted, "Caution--Biohazardous Waste Storage Area."

Deficiencies of the California Code of Regulations, Title 22, are cited on a following page.