Complaint Investigation Report

107208889-12-2-2025-24-AS-SMOA-DQTPL7-20260130102416

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

07/25/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250725095205

Staff do not provide adequate food service

Staff do not follow proper food safety practices

On 12/02/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct subsequent investigation and deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Assistant Administrator Lisa Pua.

During the course of the investigation, facility was toured. The facility has adequate perishable and nonperishable foods. Perishable food was observed stored in the refrigerator and freezer. Nonperishable food was observed stored in the pantry. Based on observation, the preponderance evidences has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Assistant Administrator, whose signature on this form confirms receipt of this report.