Complaint Investigation Report

The following deficiencies were observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22, Division 6, and Health and Safety Codes. Failure to correct the deficiencies may result in additional civil penalties. An immediate civil penalty in the amount of five-hundred dollars ($500) was issued in addition to citation due to a violation resulting in a severe injury. At the time of the complaint visit, the issuance of an additional Civil Penalty was still being determined, and the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code § 1569.49(f). An exit interview was conducted with Administrator , and a copy of this report was provided. Appeal rights provided. LIC 811 provided.