Complaint Investigation Report

The allegation that Food is not being stored, prepared and served in a safe and healthful manner is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted. Plan of Corrections reviewed and developed with Program Director. Copy of report, LIC 9099-D, LIC-811 (Confidential Names), and Appeal Rights discussed and provided to Program Director. Signature on form confirms receipt of documents.