Complaint Investigation Report

Based on observations and interview, the above allegation is determined to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. A deficiency is cited per Title 22 of the California Code of Regulations and is listed on form LIC 9099-D.

An exit interview was conducted with Administrator Bacinski which included developing a plan of correction for the deficiency. A copy of this report, LIC 9099, LIC 9099-D, LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit. The administrator’s signature on the forms confirms receipt of these documents.