Complaint Investigation Report
Census13
Date signed02/14/2025 05:39:19 PM
Deficiency is cited from Title 22 California Code of Regulations, and listed on 9099D. A $250.00 civil penalty is assessed for repeat violation within 12 month of section 87303(a). Failure to submit proof of correction by plan of correction due date may result in additional civil penalty.
Deficiency, plan and proof of correction, and civil penalty were discussed with ADM.
Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction