Complaint Investigation Report

306002915-2-8-2023-22-AS-AORZ-CNWSFX-20230210125100

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

01/30/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230130160421

On this day, Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to conduct a complaint investigation. LPA identified themselves and were met with Executive Director Troy Byington.

During the course of the investigation, LPA toured Resident 1's (R1) room, interviewed Executive Director and resident. Regarding the allegation that resident was illegally evicted, the investigation revealed the following: R1 was provided a thirty day eviction notice on 12/06/2022. Per regulation 87224, Eviction Procedures, facility is required to notify Licensing within five days for a legal eviction. Facility provided a copy of the eviction notice to LPA Haddad on 02/02/2023. Facility did not provide a copy of the notice within five days. 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, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided to facility along with appeal rights.