Complaint Investigation Report

486804139-12-7-2023-21-AS-VBEI-CYRQ2A-20231222104647

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

11/03/2023 and conducted by Evaluator Dominic Tobola

COMPLAINT CONTROL NUMBER: 21-AS-20231103114921

Staff did not prevent residents from having access to hazardous chemicals

On 12/7/2023, Licensing Program Analyst Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Program Assistant, Julia Coty & Administrator, Elizabeth Hall. LPA toured the facility, interviewed staff, reviewed facility records and made observations during the course of the investigation.

Staff did not prevent residents from having access to hazardous chemicals. Based a review of facility files and an interview with staff and Administrator, it was confirmed that client (C1) had acquired and ingested Fabuloso all-purpose cleaner resulting in medical attention. The cleaning supply item was found in C1’s bedroom without knowledge from staff. Administrator stated that the cleaner was from the facility’s supply inventory therefore the allegation is found to be substantiated.

Allegation, staff did not prevent residents from having access to hazardous chemicals is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. Appeal Rights Given.