Complaint Investigation Report
Census181
Date signed11/20/2025 03:30:29 PM
Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC9099D.
Exit interview conducted with Administrator, whose signature on form confirms receipt.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction