Complaint Investigation Report

374604013-7-26-2023-08-AS-SJAB-CUTMQ5-20230818094812

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SO. CAL AC/SC , 7575 METROPOLITAN DR. #109

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

07/18/2023 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20230718144137

On 7/26/2023 at about 10:15 AM, Licensing Program Analyst (LPA) Daniel Pena, conducted an unannounced complaint visit to the facility. After introducing and identifying himself, LPA met with Administrator, Jennifer Vargas and discussed the purpose of the visit.

During todays visit, LPA briefly toured the facility, interviewed staff, and obtained copies of facility records. It was alleged that the facility unlawfully evicted Client 1 (C1). Based on record reviews, interviews with outside sources and admission by facility personnel, the facility did not evict C1 in accordance with Title 22, Eviction Procedures. Investigation revealed sufficient evidence that the Preponderance of Evidence standard has been met. Therefore, the allegation is Substantiated.

California code of Regulations, Title 22, Division 6 & Chapter 1 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator,Vargas whose signature below confirms receipt of these rights.

An exit interview was conducted and a copy of Licensee's Rights (LIC 9058 3/22) along with a copy of this report was provided to Administrator, Vargas.