Complaint Investigation Report

Licensee does not report incidents to appropriate parties

LPA G. Luk reviewed facility file and observed no incident reports were submitted when R1 went the hospital or when R2 had injuries.

Based on LPA's 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.