Complaint Investigation Report

565802466-3-16-2023-29-AS-DPEA-CV5VEC-20230828162206

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

03/07/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230307111341

Staff did not ensure client's bed was maintained in good repair

Missing person's plan not completed for residents

A complaint visit to investigate the above allegations. Licensing Program Analyst met with staff upon arrival and observed three (3) staff and two (2) clients present. Administrator Lorenso Banas was contacted and arrive to facility at approximatelynd 11am. LPA toured the facility with staff at approximately 10:45am and observed the following: Client #1's room observed unkept with strong bad odor; client #1's bed mattress not not clean and not maintained in good repair. Hygien products ket in a cabinet in the hallway observed unsecured; cabinet does have a lock however the cabinet does not close properly leaving a gab making chemical supplies accessible through the open area. LPA observed Orkin supply placed throught the facility for bugs. Interview conducted with staff at approximately 11am confirmed that facility does have an issue with roaches. Administrator was informed to follow up with pest control and provide a plan to maintain service appropriate to ractify the bug issue of the facility. Regarding allegation "Missing person's plan not completed for clients" Administrator stated that he does not have that plan on file for the clients. Based on the above information gathered allegations are substantiated at this time. Following deficiencies observed cited. Exit interview held. Copy of report and appeal rights provided.