Complaint Investigation Report

567609954-8-25-2021-29-AS-KBUY-CSC4QA-20230530191758

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

06/04/2021 and conducted by Evaluator Angel Ascencio

COMPLAINT CONTROL NUMBER: 29-AS-20210604105830

Facility not maintained clean and sanitary at all times

Licensing Program Analyst (LPA) Angel Ascencio conducted an unannounced subsequent complaint visit to the above facility to continue investigation of the above allegation. LPA arrived at 12:30 PM and met with Administrator Therese Brown and explained reason for visit.

Regarding allegation: Facility not maintained clean and sanitary at all times. LPA Ascencio toured the facility inside and outside between 12:39 PM and 12:59 PM. LPA observed 13 resident rooms which were clutter-free and furnished appropriately with clean linen. The LPA did not observe any foul odors coming from any of the rooms. At 1:05 PM, LPA observed Admin office to be clean and odor free.

Based on all information gathered, the above allegation, “Facility not maintained clean and sanitary at all times” is deemed unsubstantiated at this time.

Exit interview conducted. Copy of the report to be provided via email.