Complaint Investigation Report

019200667-11-29-2022-15-AS-KHOS-CLWV8U-20221208151318

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

04/01/2021 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20210401101703

Maria Gracia Golitzen, Assistant Administrator

Administrator failed to report change in criminal record status

On 11/29/2022 at 8:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver findings in regards to the allegation above. LPA met with staff, Ronaldo Garcia and informed him the reason for the visit. Assistant Administrator, Maria Gracia Golitzen arrived 30 minutes later.

During the course of investigation, LPA interviewed staff and complainant. LPA reviewed and obtained staff schedule and police report. Interview with staff revealed that S1 needed to post bail. RO (Regional Office) did not receive an incident report regarding S1's changes in criminal record status.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is 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.