Complaint Investigation Report

079201273-10-26-2023-15-AS-BFOG-CZXMEY-20240129083330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

E BAY DELTA AC/SC , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/19/2023 and conducted by Evaluator Lori Alexander-Washington

COMPLAINT CONTROL NUMBER: 15-AS-20231019163144

Licensee is not maintaining liability insurance.

On this day at around 12:00PM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 10-day investigation and met with Licensee/Administrator, Ritchie Gonzales. LPA explained to Licensee/Administrator the purpose of visit.

During the visit, LPA requested the following records: Certificate of Liability Insurance. LPA received Premium Finance Agreement and Certificate of Liability Insurance with Effective Date of Policy 08/01/2023.

Based on the information gathered during the course of investigation, the 1 allegation is closed as Unfounded. A finding that the complaint is Unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No deficiencies cited. Exit Interview conducted and a copy of this report provided.