Complaint Investigation Report

015600545-1-11-2024-15-AS-KHOS-D3GHEP-20240318060817

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

E BAY DELTA AC/SC , 1515 CLAY STREET, STE. 310

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

01/02/2024 and conducted by Evaluator Lori Alexander-Washington

COMPLAINT CONTROL NUMBER: 15-AS-20240102142901

Facility is experiencing financial difficulties

On 01/11/2024 starting at 10:30 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Fontanilla arrived unannounced to conduct complaint investigation for the above allegation. LPAs met with Direct Support Staff, Florante "Dan" Landingin and explained the purpose of the visit. Dan phoned Licensee/Administrator, Victor De Leon, to inform LPAs arrival. Victor arrived approximately at 11:15AM.

During the course of the investigation, LPAs checked with Secretary of State website and discovered that the business license, De Leon Enterprise, LLC has been suspended since 2017. In addition, Licensee states the company has not filed the taxes for the years 2020, 2021 and 2022.

Based on record reviews and interview conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The following deficiency is observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.