Complaint Investigation Report
Census4
Date signed10/28/2024 10:48:13 AM
157209211-10-28-2024-24-AS-SMOA-DAKMC9-20241031092909
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
09/17/2024 and conducted by Evaluator Mai Yang
COMPLAINT CONTROL NUMBER: 24-AS-20240917081535
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction