Complaint Investigation Report

079201209-11-20-2024-15-AS-HHUL-DC3N4B-20241218090739

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

11/12/2024 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20241112162300

Licensee did not report a change in administrator as required.

On 11/20/2024 at approximately 1:30 pm Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit meeting with Administrator Digna Ramos. The purpose of the visit was to deliver findings on the above allegation.

During the course of the investigation, LPA J. Clancy-Czuleger interviewed Administrator and confirmed that S1 emailed the LPA for change of administrator documents on 5/27/2024. LPA responded on 5/28/2024 to obtaine additional documents for the change of administrator which S1 sent on 5/29/2024.

Based on information obtained, the allegation licensee did not report a change in administrator as required is closed as unfounded.

Exit interview conducted and a copy of this report provided.