Complaint Investigation Report

405802287-3-19-2025-29-AS-KBUY-DF7P8G-20250328110530

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

03/12/2025 and conducted by Evaluator Rachael De Leon

COMPLAINT CONTROL NUMBER: 29-AS-20250312142835

Toxic substances were made accessible to residents in care

Licensing Program Analyst (LPA) De Leon conducted a 10 day complaint visit to the facility above. LPA met with Dimfna Koc De Jong, Administrator and explained the purpose of the visit.

LPA toured the inside of the facility and checked the doors that go to the medications, cleaners, laundry products and personal grooming and hygiene items. All doors were locked with a key and have a sign in each door "Keep door locked, Put key back in spot!". Administrator stated staff are trianed to keep items locked and inaccessible to residents in care. LPA took photographs and video of the locked doors. LPA did not find any items that could pose a harm to residents in care accessible at the facility. Wintess 1 indicated the doors were unlocked on two occasions leaving the room accessible to residents in care. Based on the evidence at this time the allegations is deemed Unsubstantiated.

LPA provided an technical advisory and had a discussion with Administrator on the importance of making sure staff are locking the doors when exiting the rooms with cleaners, medication, personal grooing products and not allowing accesibility by residents in care.

Exit interview conducted and copy of report printed for Administrator.