Complaint Investigation Report

306003655-11-29-2021-22-AS-MVAO-CBQS7V-20220217123809

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

11/24/2021 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20211124103852

Facility did not maintain liability insurance.

Licensing Program Analysts (LPAs) Joseph Alejandre and Jerome Haley made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPAs were greeted and granted entry by staff. LPAs explained the reason for the visit. The investigation into the allegation, facility did not maintain liability insurance, revealed the following; The facility had the required liability insurance from 8/24/2019 to 8/24/2020. The email reviewed showed the insurance police expired on 8/24/2020. Administrator verified the policy was allowed to lapse and at this time the facility does not have liability insurance. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted with the Administrator and a copy of this report provided along with the citation and Appeal Rights (LIC 9058 01/16).