Complaint Investigation Report

However, LPAs also observed the following items to be in disrepair:

• Paper towel dispenser was removed from the bathroom wall

• Facility shower bathroom had a “out of order” sign for the toilet

• Utility sink in facility laundry room was clogged

Based on these observations, the allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

*During visit on 07/23/2025, LPAs observed that all items identified to be in disrepair were fixed. Deficiency cited today has been cleared.

Exit interview conducted. Copy of report, LIC9099D (Deficiency Page), Plan of Corrections, Plan of Corrections Letter and Appeal Rights discussed and provided to Executive Director/Administrator. Signature on form confirms receipt of documents.