Complaint Investigation Report

547201111-4-22-2022-24-AS-SPIY-CEKKXD-20220519081721

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

04/19/2022 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20220419152028

Licensing Program Analyst (LPA) Shawna Doucette contacted the facility to commence a complaint investigation and deliver findings. LPA conducted a visit and took COVID-19 pre-cautionary measures. LPA explained the purpose of the visit was to deliver findings to Administrator Christina Sanchez.

LPA checked the food, interviewed staff and reviewed submitted photos of expired food and food that was not properly stored.

Based on LPAs interviews and review of photos submitted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter number, are being cited on the attached LIC 9099D.

Plan of correction and appeal rights was reviewed with Administrator.

An exit interview was conducted and a copy of this report was provided via email.