Complaint Investigation Report

Allegation: Facility did not report physical plant or maintenance issue at the facility to licensing which threatens resident's welfare, safety or health.

When the department received the complaint, it was alleged that the facility had not reported that the facility had a damaged septic system for two months.

On 10/28/2025, the department received an Unusual Incident/Injury Report (IR) from the facility. The IR was dated 10/28/2025 and stated that date of occurrence of the incident was 10/28/2025. The IR states, “On October 28, 2025, at approximately 9:00 AM, plumbing inspection and repair work began in the main bathroom of Rachelle’s Home I. The inspection was scheduled and confirmed by the facility’s maintenance. Due to the scope of the bathroom repair, residents were temporarily relocated to the other areas of the home to ensure safety and privacy during the work.”

Based on records review, interviews, and observations there is preponderance of evidence to prove the alleged violations did occur. Therefore, the allegations are substantiated.

See LIC9099-D for deficiencies cited as per the California Code of Regulations, Title 22.

This report was reviewed with Assistant Administrator Tyrone Vega and a copy of this report and appeal rights were provided.