Complaint Investigation Report
392700366-8-5-2022-27-AS-SDOB-CHCPGF-20220816111818
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/20/2021 and conducted by Evaluator Charlie Yang
COMPLAINT CONTROL NUMBER: 27-AS-20211220110900
Staff not providing adequate food service for resident.
Unannounced follow up complaint visit made out to this facility on 08/04/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administratory Sherri Kimbro.
The purpose of this visit was to revise this LIC 9099 to reflect some changes that were made to the allegations listed above in this complaint investigation.
Even though the investigation was completed and the allegations were deemed to be SUBSTANTIATED, there won't be any deficiencies cited since they were already recorded on a previous complaint with the same allegations.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction