Complaint Investigation Report
Census5
Date signed06/07/2022 02:22:33 PM
A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6, on the attached 9099D.
An exit interview was conducted, and a Plan of Correction was reviewed and developed with Licensee and Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Adonica Vickers, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction