Complaint Investigation Report

331881326-6-21-2023-18-AS-JESL-CT96L3-20230628205340

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 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

04/07/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230407093726

Facility license number is not revealed on all facility advertisements.

On 6/21/2023, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit to conclude the complaint investigation into the allegation listed above. LPA met with Administrator, Kenyota Dokes and Clinical Director, Michelle Hayes who was informed of the purpose of the visit. During the investigation staff and facility record was reviewed.

It was alleged Facility license number is not revealed on all facility advertisements. LPA interviewed staff who stated the advertisements are handled by the Newport Company. LPA interviewed the Newport Regional Licensing and Compliance Manager who acknowledged the License number wasn’t added in the advertisements when this complaint was received but has now been added. LPA reviewed Newport Company website at the time this complaint was received and observed no License number.

Based on LPA's observation, and interview, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) is being cited on the attached LIC 9099D). An exit interview was conducted, and a copy of this report was reviewed with and provided to Kenyota Dokes.