Complaint Investigation Report
Census16
Date signed01/13/2023 06:22:20 PM
Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D . Failure to submit proof of correction by plan of correction due date may result in civil penalty.
Deficiency and plan and proof of correction were discussed with administrator over the phone.
Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction