Complaint Investigation Report

496803499-12-1-2022-21-AS-HDBI-CQDV5B-20230329160741

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

11/22/2022 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20221122162249

Licensing Program Analyst(LPA) Dina Alviso conducted a complaint inspection and met with Ami Kumar, Licensee/Administrator, and Janine Sorrenson, Administrator.

LPA reviewed resident records, and obtsined copies. LPA conducted interviews with staff, and other interested parties. The investigation revealed that the Licensee/Administrator didn't provide written 30-day notice of eviction to the resident/responsible party as required by regulation.

Due to the substantiation of the allegation, "Illegal Eviction", deficiency citation will be issued, Eviction Procedures 87224(a)(4), see LIC9099D.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited.

Failure to correct deficiencies may result in civil penalties being assessed.

Exit interview conducted with the Administrator