Complaint Investigation Report

Facility areas of concern in violation of Regulations; Buildings and Grounds 80087(a), Food Service 80076(a)(1) & Furniture, Fixtures, Equipment, and Supplies 80088)(f) :

- Mildew and buildup on bathroom surfaces (floor, bathtub toilet)

- Insects (flies and fruit flies) found in kitchen area

- Food and other stored items compiled in kitchen space

- Kitchen refrigerator cleared of any expired foods

- Walls requiring cleaning throughout the facility

- Backyard cleared of recyclable cans and unused items or items in disrepair

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted with facility Licensee, whose signature on this document confirms receipt.

A copy of the signed report was emailed to Licensee.