Complaint Investigation Report

019200513-7-24-2025-15-AS-KHOS-DJZQWV-20250728123233

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

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

07/17/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250717122810

On 7/24/25 at 2:30 PM Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct a 10- day compliant investigation and to deliver findings for the above complaint. LPA met with Anthony Garcia, Administrator and explained the purpose of the visit.

During the course of the investigation LPA reviewed the eviction notice dated 7/9/25 issued to R1and have found that the notice is not valid. In part, it does not itemized what the outstanding balance of $24,751.51 is for. Therefore the allegation of illegal eviction is substantiated. California Health and Safety Code of Regulations are being cited see LIC9099D.

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