Complaint Investigation Report

LPA reviewed incident reports received by RO and observed no incident report was received from January 2020 through May 2020 for R1. LPA observed that R1 was sent to ER in January 2020, but did not receive an incident report from licensee. Interview with staff indicated that incident report was not sent to RO.

Based on LPA information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted. A copy of this report and appeal rights provided.