Complaint Investigation Report
Date signed05/24/2022 01:55:17 PM
Based on interviews, observations and record review, the allegation is SUBSTANTIATED at this time.
No other health and safety hazards were noted during the visit. An exit interview was conducted. A copy of this report, the original LIC 9099-D and Appeal Rights were discussed and provided. The signature on this form confirms receipt of these documents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction