Complaint Investigation Report

associated at this time. It was learned that there were (3) facility personnel who were not properly transferred and associated to this facility at this time.

Based on interviews, It was learned that the former Administrator, Anabelen Vallarta, was relieved of her duties as the facility designated Administrator on 12/06/2024 and a new facility designated Administrator was appointed shortly thereafter in another letter that was sent out to the residents and their responsible parties. This notification was sent out with the newly appointed facility designated Administrator on 12/09/2024 to this LPA in an email.

Based on a review of the facility forms and documents, the newly appointed facility designated Administrator, S2, did not have any documentation to prove that S2 had been fingerprint cleared and properly associated to this facility since the email notification that was originally sent into CCL on 12/09/2024.

There were no documents made available for review in regards to S2 when facility personnel records were requested at this time.

Based on interviews conducted, it was learned that the newly appointed facility designated Administrator was not present in this facility and has never shown up to this facility whenever CCL has been present for any of the past visits.

It was learned that S2 was currently the only certified Administrator at this time.

As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegations were valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Civil penalties were levied and assessed on the following LIC 421BG in the amount of $900.

Appeal rights were printed and a copy was left with the facility designated representative at this time.