Complaint Investigation Report
Census3
Date signed11/15/2023 01:59:20 PM
Name of licensing program analystCynthia D Chan
Name of licensing program managerTony Vasallo
LPA attempted to interview R-1 regarding this incident but was unsuccessful. LPA interviewed the other 2 residents, of which one witnessed S-1 flicking R-1 on the head while sitting at the dining table.
Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D.
An exit interview was conducted. The Plan of Corrections were reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction