Complaint Investigation Report

The Department has investigated the above-mentioned allegation, and based on observation and record review, the preponderance of the evidence has been met; therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. A civil penalty in the amount of $500 has been assessed during today's visit.

An exit interview was conducted with Caregiver Christopher Diaz, and a copy of this report, the LIC421IM (7/17), and the Licensee Appeal Rights (LIC9058 01/16) were provided to Christopher Diaz via hard copy.