Complaint Investigation Report

306005361-4-27-2026-22-AS-AORZ-DTMKLR-20260430080021

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

04/20/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260420144134

Staff unpermitted partition/dwelling in the garage

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff. Regarding the allegations that staff live in the garage and staff unpermitted partition/dwelling in the garage, the investigation revealed the following: LPA observed a room created in the garage with a bed and furniture separated from the rest of a garage by a makeshift partition of items such as a large door (photos). Staff confirmed that staff reside in the makeshift room. Upon review of facility floor plan on file with the department, the floor plan does not match the physical plant of garage. LPA observed alterations made that are not depicted on floor plan. Based on observation and interviews conducted, the preponderance of evidence standard has been met. Therefore the above allegations are found to be SUBSTANTIATED as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. Deficiencies are being cited on the attached LIC-9099D.

An exit interview was conducted and a copy of this report as well as the appeal rights were provided at exit.