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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850111
Report Date: 01/04/2022
Date Signed: 01/04/2022 05:12:39 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/10/2021 and conducted by Evaluator Joann Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20210910084322
FACILITY NAME:LEXINGTON ASSISTED LIVINGFACILITY NUMBER:
565850111
ADMINISTRATOR:SANJUANA ENRIQUEZFACILITY TYPE:
740
ADDRESS:5440 RALSTON STTELEPHONE:
(805) 644-6710
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:125CENSUS: 75DATE:
01/04/2022
UNANNOUNCEDTIME BEGAN:
11:47 AM
MET WITH:Matteo Digrigoli - Operations ManagerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are retaliating against resident for filing a complaint
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) JoAnn Rosales conducted an unannounced subsequent complaint investigation visit. LPA met with Operations Manager Matteo Digrigoli who is authorized to review and sign reports.

During today's visit LPA toured the facility with Matteo Digrigoli - Operations Manager, interviewed random residents and staff. Concerns were that the facility staff are retaliating against a resident for filing a complaint. Interviews with random residents and staff conducted on 9/13/21 starting at 1:32 pm, 10/14/21 starting at 3:06 pm, 10/15/21 starting at 10:56 am and 1/4/22 starting at 12:17 pm revealed that no one was aware of any facility staff retaliating against any resident for filing a complaint. Based on the information obtained during the course of the investigation the allegation is deemed unsubstantiated at this time.

Exit interview was conducted, today's report was reviewed and emailed to the Operations Manager.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kristin HeffernanTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Joann RosalesTELEPHONE: (626) 419-4072
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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