Complaint Investigation Report
Census37
Date signed01/29/2024 03:40:57 PM
Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099 D.
As a result of the resident sustaining an injury, an immediate civil penalty was assessed in the amount of $500.00 on 01/29/2024, on the attached LIC421IM.
Appeal rights were provided. An exit interview was conducted. A copy of the report was provided to the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction