Complaint Investigation Report

015601380-3-4-2025-15-AS-KHOS-DF3LXQ-20250324090906

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

12/30/2024 and conducted by Evaluator Ardalan Gharachorloo

COMPLAINT CONTROL NUMBER: 15-AS-20241230133642

On 3/4/2025 at 11:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct a complaint visit and deliver findings regarding above allegation. LPA explained the purpose of the visit to Licensee Judy Basa.

During the course of the investigation, LPA interviewed the licensee who stated that she did not provide the written eviction notice to R1 as required. LPA also toured the facility. There are currently no residents in care and no staff working at the facility.

Based on LPAs observations and interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D.

Exit interview conducted and a copy of the reports along with appeal rights provided.