Complaint Investigation Report

216803994-7-6-2023-21-AS-HDBI-CTWTLQ-20230720144955

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

06/07/2023 and conducted by Evaluator Shannan Hansen

COMPLAINT CONTROL NUMBER: 21-AS-20230607095941

Licensing Program Analyst (LPA) Hansen arrived unannounced at the facility to deliver findings regarding the above allegations. LPA met with Director of Operations, Nithi Narasappa.

During the investigation, the Department conducted interviews, reviewed documents, and made observations.

Facility kitchen is dirty - On 6/15/2023 & 6/20/2023 LPA conducted unannounced visits to facility. LPA toured the kitchen and observed meals being prepared and the kitchen, floors, countertops clean (see Pics LIC812). LPA was informed by reporting party during interview, allegation was from a third party and reporting party was not sure of validity. Based on observations & interviews there is insufficient information to prove or disprove the allegation listed above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.