Complaint Investigation Report

486803895-4-23-2024-21-AS-VBEI-D4DMSA-20240416095136

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

03/22/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240322152816

Facility doesn’t have an administrator on the premises

*****This is an amended version of the original report************

The findings on this complaint are amended from UNSUBSTANTIATED to SUBSTANTIATED. A new LIC9099 (Complaint Investigation Report) now supersedes this document.