Complaint Investigation Report

415601048-2-4-2022-14-AS-KHOS-CQCRGV-20230328130122

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 851 TRAEGER AVE., SUITE 360

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

01/28/2022 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20220128120323

- Facility failed to maintain working smoke alarms

- Facility failed to report small fire to CCL as required

LPA Jeung met with and interviewed staff--including assistant administrator--and tested 6 smoke detectors; all are operable. LPA was told that battery in smoke detector in bedroom #3 was replaced last week. LPA also learned that on January 27 or January 28, a towel that was left in the oven resulted in smoke filling kitchen and moving into adjacent dining room. The smoke detectors are located on the other side of the house where the bedrooms are, and it's conceivable that they were not activated because smoke was confined to the side of the house where the kitchen and dining room are. Staff who were present on 1/27 or 1/28 said that the sliding door and windows were opened to clear the smoke out.

It was evident during LPA's visit that management had not been informed about the smoke incident, so it was not reported to CCLD as an unusual incident. Management will review reporting requirements with staff.

Based on this information, Ii cannot be proven that these allegations are true. Therefore, allegations are determined to be unsubstantiated, meaning that allegations could have occurred or be true, but there is not sufficient evidence to substantiate.