342700157-1-24-2024-59-AS-LMUZ-CZTNBJ-20240125091913

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700157
Report Date: 01/24/2024
Date Signed: 01/24/2024 10:16:19 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/19/2024 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20240119105642

FACILITY NAME:	CHALET, THE		FACILITY NUMBER:	342700157
ADMINISTRATOR:	SUSIE DIZON		FACILITY TYPE:	740
ADDRESS:	6487 MAIN STREET		TELEPHONE:	(925) 787-2740
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	41	CENSUS: 26	DATE:	01/24/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator, Susie Dizon		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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HVAC system not working.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 01/24/24 to open the 10 day complaint investigation into the above allegation. LPA met with administrator, Maria Susie Dizon, and explained the purpose of the visit. LPA arrived and toured the facility and observed all the vents for the heating and cooling system. All the vents were operational. Checked all the rooms and all vents were working as well. LPA did not observe anything in disrepair. Administrator stated no one has reported issues with the air conditioner or any appliance in the facility.
LPA interviewed 2 staff and 3 residents. Based on this information, the above allegation ‘HVAC system not working’ was found to be UNFOUNDED. The department has found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

A copy of this report has been provided to the facility. No citations have been issued during today's visit. Exit interview conducted.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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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