Senior Care Records.

Complaint Investigation Report

Heatherfield Inn, San Jose01/11/2024Licence 435202753

Date signed01/11/2024 05:02:34 PM
The inspector’s account

On January 11, 2024, LPA observed resident bedroom #4 with a damaged facility screen door. ADM confirmed that resident bedroom #4 has a damaged screen door.

The Department has investigated the above allegation. Based on observation, resident bedroom #4’s sliding screen door had a tear and was broken. The preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED.

Deficiencies are being cited per California Code of Regulations, Title 22. See LIC9099-D. Exit interview was conducted with Administrator Dieu-qui H Nguyen and a copy of the signed report & appeal rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction