Complaint Investigation Report

011405820-8-25-2022-15-AS-KHOS-CHTMCE-20220831092924

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

08/17/2022 and conducted by Evaluator Lizette Francisco

COMPLAINT CONTROL NUMBER: 15-AS-20220817081011

Facility not accepting client into the program

On 8/5/2022 at 10:05 AM, Licensing Program Analysts (LPAs) L. Francisco and K. Nguyen arrived unannounced to conduct the complaint investigation for the above allegation. LPAs met with Program Director, Veronica Lopez and explained the purpose of the visit.

During the complaint investigation, LPAs interviewed staff and obtained documents. Based on information obtained, facility is not accepting client into the program for not being fully COVID-19 vaccinated. Record review of admission procedures indicates that all participants that attend the day program should be fully vaccinated which is in violation of PIN 22-23-ASC.

Based on LPAs interview and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Exit interview conducted with Program Director. Appeal rights and a copy of this report provided.