Complaint Investigation Report

397202998-8-9-2023-27-AS-KHOS-CVTSFF-20230919135015

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

06/27/2023 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20230627084955

Home is storing a large amount of consumers’ incontinence supplies outside on the patio. Potential fire hazard

Licensing Program Analyst, LPA Albert Johnson visited the facility today to deliver findings for the complaint investigation.

Based on observation and photos taken the facility is storing large amount of incontinence supplies which is a potential fire hazard. The facility has recived extra incontinence suppiles and did not have room to store these items in a safe location.

The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of regulations, Title 22. Deficiencies are being cited on the attached LIC9099D.