Complaint Investigation Report

405800142-5-24-2022-29-AS-KBUY-CEQVJ4-20220524162808

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/20/2022 and conducted by Evaluator Rachael De Leon

COMPLAINT CONTROL NUMBER: 29-AS-20220520170534

RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of clients in care.

Licensing Program Analyst (LPA) De Leon conducted an unannounced complaint visit to issue final findings. Investigations Branch (IB) Investigator Munoz conducted this investigation on 5/23/2022.

Based on evidence obtained during the course of this investigation, the Department has Substantiated that an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that may pose a risk to the health and safety of the client(s) in care at a facility licensed by the department. This is a factual determination based on all the facts and circumstances of the case.

Exit interview, deficiency cited on 9099-D, civil penalty assessed, report and appeal rights emailed to Administrator.