Complaint Investigation Report

331880716-2-7-2022-18-AS-NBRN-CBN2MM-20220214163121

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

02/01/2022 and conducted by Evaluator Amy Goldenberg

COMPLAINT CONTROL NUMBER: 18-AS-20220201134413

Licensee does not have liability insurance

This unannounced visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to initiate the 10 day visit to investigate the above-mentioned complaint allegation.

This investigation included obtaining a copy of the current Liability Insurance Policy. It is alleged that the facility's liability insurance expired without payment. Review of the current policy revealed that the facility liability insurance coverage commenced on 02/01/2022. After review of the current policy, it is revealed that there was no break in liability insurance coverage. We have found the complaint allegationis unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. A copy of this report is being reviewed with, and furnished to the facility representative.