Complaint Investigation Report

C1 had another dental visit on 7/25/2025 with recommendation of 4 teeth extractions. However, C1 end up having 8 teeth extractions.

Interview with witness (W2) indicated the dentist recommended 2 teeth extractions for C1 in November 2024 and facility staff did not follow up with dental provider. W2 stated C1 end up having all 8 teeth extracted and C1 does not have anymore teeth currently.

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.