Complaint Investigation Report

565850112-7-21-2023-29-AS-DPEA-D2WVEY-20240229152304

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

07/14/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230714174612

Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit to investigate above allegations. Upon arrival LPA was informed that Executive Director is off today. At approximately 10:20am, LPA met with Wellness Director Meshyll Filipinas and reason for the visit was explained. A copy of the staff and resident roster was requested.

At approximate 10:45am LPA toured the facility with Ms. Filipinas. At 11:04am, Resident #1's (R1) room was toured and observed with multiple boxes of things all around; clutter of misalainious items all over the floor. There is no clear path to ambulate in this room which is a safety hazard. R1's bathroom is also cluttered with items all around with no clear path to ambulate. There was no clear path to go inside R1's room or bathroom. Based on the observation of R1's room during todays visit allegation "Resident's apartment is a safety hazard" is substantiated.

The following deficiency was cited (See LIC 9099-D) from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Exit interview held. Copy of report and appeal rights provided.