Complaint Investigation Report
Census3
Date signed09/03/2025 11:50:16 AM
Citation is issued under Title 22, Division 6 and noted on LIC 9099D. An additional civil penalty of $250 is issued in addition to citation due to repeat violation of Section 80072(a)(1) within a 12-month period. An exit interview was conducted with Administrator designee and a copy of this report was provided. LIC 811 and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction