Complaint Investigation Report

577000881-11-19-2021-21-AS-KMOA-C9GVC9-20211207151845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 101 GOLF COURSE DR. STE. A-230

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

11/18/2021 and conducted by Evaluator Jill Nakagawa

COMPLAINT CONTROL NUMBER: 21-AS-20211118094009

11/19/2021 LPA Jill Nakagawa opened 10 day visit.

Other documents related to complaint investigation: LIC9099, LIC812

On 11/19/2021 at approximately 9:40 AM LPA inspected two (2) facility restrooms for the general public by the elevators with Administrator, Emily Venegas and did not detect any offensive odors; both the Men's and Women's bathrooms were clean and toiletry supplies were available. Trash cans were not empty but were not overflowing at the time of inspection. Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED.