075600966-7-3-2023-15-AS-KHOS-CU3Q28-20230725114643

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600966
Report Date: 07/03/2023
Date Signed: 07/03/2023 02:57:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/03/2023 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20230703085158

FACILITY NAME:	BETTER LIVING OF WALNUT CREEK		FACILITY NUMBER:	075600966
ADMINISTRATOR:	GALERA, RUDOLPH		FACILITY TYPE:	740
ADDRESS:	1868 DANIELLE CT		TELEPHONE:	(925) 938-8820
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY:	6	CENSUS: 6	DATE:	07/03/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Edwina West, House Manager		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility air conditioner is in disrepair

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 07/03/23 at 2PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with house manager (HM), gathered information and delivered investigation finding to HM. LPA explained the purpose of the visit with HM and staff (S1).

Allegation: Facility air conditioner is in disrepair
Investigation Finding: Unsubstantiated
During investigation, LPA observed two (2) operating portable air conditioners (ACs) at the facility on 07/03/23. One was located inside a share bedroom near the front entrance. The other was located in the main living room. The AC thermostat reading was observed at 72 deg F. Continued on next page, LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 622-2621
LICENSING EVALUATOR NAME: Daisy Panlilio	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 15-AS-20230703085158

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BETTER LIVING OF WALNUT CREEK	FACILITY NUMBER: 075600966
	VISIT DATE: 07/03/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Staff (S1) stated the facility AC broke on 06/29/23 and they contacted the AC technician immediately for repairs. S1 stated AC technician is scheduled to repair the facility AC on 7/05/23. In the meantime, two (2) portable ACs were used to ensure all six (6) residents were comfortable at the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that facility air conditioner is in disrepair is unsubstantiated.

No deficiency cited during visit. Exit interview conducted and a copy of this report provided.

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 622-2621
LICENSING EVALUATOR NAME: Daisy Panlilio	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2