Complaint Investigation Report

397005719-11-30-2021-27-AS-LKIG-C9NVUN-20211213154501

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

11/23/2021 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20211123110557

On 11-30-21 at 10:10am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and conduct an investigation for the allegation listed above. LPA met with Administrator Digna Cabrera and explained the purpose of the visit. During this investigation, LPA interviewed Administrator and S2. LPA also interviewed Resident1 (R1). LPA observed facility inside and out including all common areas, all resident bedrooms, kitchen area, kitchen cabinets, medication cabinets, window seals in common areas, resident bedrooms, and common areas. LPA also observed all bathrooms, and food storage areas. Based on observations, facility appeared clean and sanitary with no foul odors. LPA did not observe any roaches or other insects, or evidence of insects. Based on interview with S2, facility is cleaned once per day. Based on interview with Administrator, facility has an ongoing pest control service in place. LPA observed email communication from Administrator to pest control service confirming agreement for once per month treatment.

Based on observation and interviews, it is determined that this allegation is UNSUBSTANTIATED. An exit interview was conducted with Digna Cabrera and a copy of this report was left with Digna.