Garden View Inn

Allegation investigated: Facility was not following the admission agreement for fee increases and notifications

Licensing Program Analyst (LPA) De Leon conducted a subsequent visit to the facility above. LPA met with Administrator Dimfna Koc De Jong and explained the purpose of the visit. LPA requested a copy of Resident 1's (R1's) Admission Agreement with any and all addendums, copies of billing invoices for monthly rent for R1, copies of any 2 day, 30 day, 60 day or 90 day fee increases for R1, copies of payments made on behalf of R1, and any Emails or Text messages regarding monthly fees for R1. LPA interviewed Witness on 07/10/2026 and Administrator on 07/15/2026 around 10:30am. On the allegation: Facility was not following the admission agreement for fee increases and notifications. LPA De Leon interviewed Witness 1 (W1), W1 stated the facility is constantly raising the monthly fees, fees are different every month for the past 4-5 years and the Administrator is not providing the responsible party (RP) of the resident with notifications for the fee increases. Continued 9099-C Substantiated W1’s resident is currently on hospice services and being evicted for non-payment of fees, owed to the facility due to the residents long term care payments running out of funds in the residents account, W1 cannot relocate Resident 1 (R1) due to not having funds, owing back fees to the facility, and does not feel R1 can be transported without transfer trauma. W1 is working on paperwork to get R1 in a local skilled nursing facility. W1 provided LPA R1’s Appraisal Needs and Services plan dated 08/31/2023 by the facility and an invoice dated 07/01/2026 with a balance due of $10,856.00 up to the date of July 1, 2026. Administrator stated Resident 1 (R1) moved in on 01/06/2020. R1 had Long Term Care Insurance that paid the facility monthly until April of 2026. Administrator contacted the insurance company after not receiving payment, and Administrator was told that R1's funds have run out and there will only be a small payment for April based on what R1 has left in the account. The insurance company told the Administrator that monthly invoices are sent to the Responsible Party (RP) on file so the RP should be aware. Administrator stated R1 does have an RP/POA R1 had long term care insurance which for 6 years the insurance has always paid directly to the facility monthly and any remaining monies due would be invoiced and sent to the POA. The POA would send payment from R1’s monthly pension. Administrator contacted the RP to find out what was going on and has tried to work with the RP since April 2026, In June 2026 after having a balance due of monies owed , the facility had to serve an eviction notice as the RP had no resolution to the outstanding balance and would not agree to any type of payment arrangement the facility had offered. Administrator stated the facility has never imposed any late fees on R1's account until the eviction. The administrator stated the facility is working with the Hospice social worker to find R1 placement that the RP can afford, and a place was found in Santa Barbara, but the RP refused to relocate R1 to the new facility due to it being too far away. Administrator is still working with RP to find placement for R1. Administrator has provided all billings, invoices and notifications to RP from January 2020 to July 2026 LPA reviewed Admission Agreement which revealed R1 moved in on 01/06/2020, R1’s basic services included in monthly rate of $4150.00 per month due by the 3rd of the month or a late fee of $10.00 per day will be assessed. Optional services are listed which are not included in the monthly rate and only billed on invoices if the facility verifies with resident or RP’s they want the service, types of additional services listed were picking up prescription medications or over the counter prescribed items, haircuts & care, pedicures, special equipment needed, long distance phone calls, optional activities, transportation fees, and special preferences on personal care items and food. In this section is also listed Supplement/Level of Care with a Level of Care fee schedule which is based on residents’ assessment, the fees are listed as Incontinence supplement $150.00, Hospice supplement $150.00, level of care surcharges based on residents’ needs between $250-750 per month. Continued 9099-C According to R1’s billing invoices reviewed in Feb 2020 the facility gave a reduction in rent for the first 3 months at $650 per month, June’s invoice no longer had the agreed upon reduction and reverted to the amount of $4150.00 per month as agreed upon in the admission agreement. Several invoices in 2020 had carried over unpaid balances from pervious months and no late fees have ever been assessed, optional fee charges were added when medications were picked up for R1 as agreed upon in the admission agreement and verbally by phone or text before a service was provided, a notification letter to RP dated 10/21/2020 for a rent increase of $100 per month to take effect January 2021 and care level increase for hospice/incontinence care of $250.00 per month would be added to the monthly billing cycle, these notifications were within regulation requirements of 60 day notice for Basic Services and 2 day notice for level of care increases. The facility decided to only add $150.00 level of care increase to the remainder of the monthly billing cycles for 2020 and then increased to $250 in January of 2021. On the invoice for January of 2021 the monthly rate was increased to $4250.00 and $250.00 level of care surcharge for a monthly total of $4500.00 in which notification was sent in October of 2020 for this increase. On July 21, 2021, notification was sent to increase Basic Services by $250 a month to start in October of 2021. On 10/2021 Basic Services increased to $4500.00 plus the $250 care level fee brought the monthly billing to $4750.00, this increase was a 60-day notice given in July 2021 and was correct for billing the remainder of 2021. On the invoices for 2022 the rent was $4500 plus the $250 care for a total of $4750.00 which was correctly invoiced from 01/2022-12/2022. On the invoices for 2023 the amount billed from 01/2023-09/2023 was $4750.00. A notification letter was sent to RP on September 26, 2023, Basic Services would be increased by $250.00 a month starting in December of 2023 for a total of $4750 plus $250 care fee total of $5000.00. On the billing for October of 2023 the amount was increased to $5000.00 which should have remained a total of $4750.00 a credit/refund is due of $250.00 for 10/2023 billing. On the billing for November 2023 the amount increased to a total of $5000.00 and should only have been a total of $4750.00 a credit/refund is due of $250.00 for the 11/2023 billing. The December billing was increased to a total of $5000.00 which is valid for the 60-day letter sent 09/26/2023. On the invoices for 2024 the basic services were $4750.00 plus care fees of $250.00 for a total of $5000.00 which was a correct invoice from 01/2024-12/2024. Continued 9099-C On the invoices for 2025 the amount billed from 01/2025-05/2025 was a total of Basic services $4750.00 plus $250.00 care fee for a total of $5000.00 which was correctly invoiced. On July 1, 2025, the facility sent a notification letter to RP that Basic Services would increase by $200 a month from $4750.00 to $4950.00 plus Care fee increase to $350.00 with the increase on August of 2025. This letter is not a full 90-day increase letter which is required in regulation as of January 2025. The increase for the care fee can increase as of July 2025 but the Basic Services cannot be increased until October of 2025. The invoice for June 2025 needs to have a credit/refund of $300.00. The invoice for July 2025 needs to have a credit/refund of $200.00. The August 2025 needs a credit/refund of $200.00 plus $80 for late fee added to this invoice, the late fee in the admission agreement is $10.00 per day and this invoice was billed at $150.00 for 7 days which can only be $10.00 per day for 7 days a total of $70.00, a total credit/refund of $280 for August 2025. The September 2025 invoice needs a credit/refund of $200.00. As of October 2025- December 2025 the Basic services increase can be billed and the total of $5300.00 is valid for billing for Basic Services and Care Fees for those months. On the invoices for January-May 2026 the facility billed the correct amounts of $5300.00 then an eviction notice was given to the RP for failure to pay Basic Services and Care Fees from April of 2026-May 2026, RP was notified that billing would be at $175.00 per day until the date of move out which is less then the $5300 for basic services and care fees so no increased notification needed to be sent due to a decrease in the monthly fee to $175.00 per day. The Administrator is working with the RP to find placement and will continue to bill at $175.00 per day until the residents’ belongings are removed from the room at the facility. LPA reviewed the eviction in June of 2026, and it meets the requirement for a lawful eviction. A Credit/Refund to RP for basic services and care fees is $250 for 10/23, $250.00 for 11/23, $300.00 for 06/25, $200.00 for 07/25, $280.00 for 08/25, and $200.00 for 09/25 for a total refund/credit of $1480.00 to RP’s outstanding balance due. Based on evidence this allegation is Substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal rights printed for Administrator.the state’s words, verbatim · CDSS document, Aug 4, 2026 · control 29-AS-20260710085145

From the deficiency page — Deficiency type: Type B · Section cited: CCR 1569.655(a) · Plan of correction due date: Aug 11, 2026

(a)...increases the rates of fees for residents or makes increases in any of its rate structures..., the licensee shall provide no less than 90 days’ prior written notice to the residents or the residents’ representatives...amount of the increase...reasons for the increase,... (Prior to 01/2025 60-Day) This requirement was not met as evidenced by: Based on record review the Licensee did not comply with the regulation above R1’s RP was increased prior to 60 and 90 days required by regulation which poses a potential personal rights risk of residents in care.the state’s words, verbatim · CDSS document, Aug 4, 2026

Plan of correction: Administrator will review Admission Agreements update required regulations, review Health & Safety codes 1569.655 and 1569.657 regarding increase requirements, provide a statement of understanding and a credit invoice of $1480 to RP and provide to CCL

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) De Leon conducted a 1 year annual visit to the facility above. LPA were greeted by staff whom called Administrator. Administrator arrived and LPA explained the purpose of the visit. A tour of the inside and outside of the facility was conducted with Administrator. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out clipboard for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environmental Safety: The facility has 9 bedrooms and 3.5 bathrooms Currently occupying 10 residents and employs 11 staff. LPA toured 9 bedrooms and 3.5 bathrooms. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke alarms and 1 carbon monoxide detector, tested and functioning. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The facility kitchen is clean, safe and sanitary. The showers have non-skid mats/bottoms. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care locked in laundry room. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for resident use. The facility has video surveillance in the office and on the medication cart in upstairs living room. Continued 809-C Operational Requirements: The facility has a current plan of operation and infection control plan on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 03/15/2026. The facility is approved for a capacity of 15 with 15 Non-Ambulatory. Hospice approved for 9. Staffing: The facility employes 11 staff and 1 Administrator. Staff records are kept confidential. Five files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Finger print clearance/Associations. Administrator file was reviewed for Continuing Education requirements and current Administrators Certificates expires 10/25/2025, on the pending list with CCL for renewal. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored and marked appropriately. Food, snacks and drinks are available when the residents want them. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately from food supplies. Kitchen areas are kept clean and free from litter, rodents, vermin and insects. Kitchen staff are observed for personal hygiene and food sanitation practices. Emergency food and water are stored for emergency use. Incidental Medical Services: Facility provides or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). All residents medications were checked for expiration dates, no altered labels and medication is stored in it original containers. Facility has First Aid kit. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts quarterly disaster drills. Fire Extinguisher were charged and last inspected on 5/8/2025. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Continued 809-C Personnel Records & Training: The facility keeps confidential files for each staff member. LPA reviewed 5 staff training records for Initial and/or Annual Training Requirements of 20 plus hours meeting 8 hours of dementia training with all subjects covered over a 3 year period, 4 hours of hospice care, postural supports and restricted health condition, and 8 hours of other training to include ADL's, resident characteristics, emergency preparedness policy and procedures, infection control requirements and Quarterly Disaster Drills. Staff handling medications had initial or annual medication training. Trainers met the requirements to train staff with required information on file. Hospice and Home Health provide training to staff for residents under those services and facility keeps records on file. Resident Rights Information: All require postings were posted in the common area in the down stairs and up stairs of the facility. Personal rights, Rights to Resident Council, Theft and Loss policy, and Non-discrimination notice. CCL Complaint poster and LTCO poster were posted in the common areas of facility. The current license along with CCL reports and PIN's were posted. Visitation policy is posted at entry. Internet and a device for residents use is provided to resident with confidentiality and privacy. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments, LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS), TB results, Personal Rights, and Safeguard for personal property and valuables. Pre-Placement Appraisals and Functional Capabilities are conducted on perspective residents before accepting them into care. The Facility does not handle cash resources on residents in care. Facility does submit incident reports to the department when required. Residents with Special Health Needs: The facility does accept dementia residents in care. All items that could pose a danger, sharps, cleaners were locked or in accessible to residents in care. The facility does currently have residents with oxygen and signs are posted. The facility has hospice residents in care. Hospice care plans are kept on file and up to date. The facility currently has residents receiving Home Health services. Home Health services records are kept on file. The facility has a pool that is fully fenced with locked gates. There are animals on the property fully fenced in with locked gates. The facility does not have delayed egress. Facility has exiting door alarms. LPA conducted interviews with 3 residents and 3 staff. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 23, 2025

Allegation investigated: Toxic substances were made accessible to residents in care

Licensing Program Analyst (LPA) De Leon conducted a 10 day complaint visit to the facility above. LPA met with Dimfna Koc De Jong, Administrator and explained the purpose of the visit. LPA toured the inside of the facility and checked the doors that go to the medications, cleaners, laundry products and personal grooming and hygiene items. All doors were locked with a key and have a sign in each door "Keep door locked, Put key back in spot!". Administrator stated staff are trianed to keep items locked and inaccessible to residents in care. LPA took photographs and video of the locked doors. LPA did not find any items that could pose a harm to residents in care accessible at the facility. Wintess 1 indicated the doors were unlocked on two occasions leaving the room accessible to residents in care. Based on the evidence at this time the allegations is deemed Unsubstantiated. LPA provided an technical advisory and had a discussion with Administrator on the importance of making sure staff are locking the doors when exiting the rooms with cleaners, medication, personal grooing products and not allowing accesibility by residents in care. Exit interview conducted and copy of report printed for Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2025 · control 29-AS-20250312142835

Type of visit: Required - 1 Year

At 11:40am on 10/07/2023, Licensing Program Analyst (LPA) Jeffries arrived at the facility to conduct and unannounced annual inspection visit. LPA met with Administrator Dimfna Koc de Jong announced who he is and the reason for the visit. The facility consists of a two-story house on a large property. The first level of the house consists of a dining room, sitting room, office, warming/staff kitchenette, a family room, 5 resident bedrooms and 2 bathrooms. The second level of the house consists of the living room, family room, dining room, main kitchen, laundry room, 4 bedrooms and 2 bathrooms. There is a deck off of the upstairs dining room and a ramp leads outside to the first floor. The facility has a swimming pool and spa that are gated and locked per regulation requirements. There are several outdoor areas with appropriate furniture and shade available. LPA toured facility with Administrator. LPA noted concerns with facility floor having several areas where the floor is causing spacing between the tile, which the facility is addressing as needed. LPA also noted that a closet on the top floor has evidence of water leakage. Based on the water leakage and the repairs that were addressed of the facility floor LPA will issue a citation of, 87303(a) for the facility to be in good repair at all times and request that Administrator have a structural engineer assess the integrity of the facilities structure in a timely manner. The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning throughout the facility. There is a sprinkler system in the ceiling of facility that was last pressure tested by Mid Coast Fire on 07/16/2024, billed to Dave Clark of Atascadero Mutual Water Company. Fire extinguishers were fully charged. Inside and outside passageways are free from obstruction. The facility temperature was 72 degrees F. Hot water temperature tested and within regulation parameters. Residents’ rooms are appropriately furnished with adequate lighting. LPA observed more than two days of perishable and more than seven days of non-perishable food. Food is stored in proper containers in the refrigerators and freezers. LPA reviewed Emergency Disaster Plan, Infection Control Plan, staff and resident files, training records and centrally stored medication records. LPA noted that facility last conducted and documented an emergency evacuation dill on May 8th, 2024, which is past due on the quarterly requirements required by regulations (1569.695(c)), citation issued. CONTINUED on LIC9099-C Licensee and LPA conducted a full review of the annual control tools. LPA noted no other violations or citations issued aside from the two mentioned above. Exit interview, report read, appeal rights, and report provided.the state’s words, verbatim · CDSS document, Oct 7, 2024

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff do not properly maintain the facility's electrical outlets

Licensing Program Analyst's (LPA's) De Leon and Rankin conducted a 10-day complaint visit to the facility above. LPA was greeted by care staff and called Administrator. Administrator is at a pre-scheduled appointment and can not met LPA for visit. Administrator will have care staff sign report. LPA requested a staff roster with telephone numbers and a current resident roster. Administrator will email records to LPA later this afternoon. LPA's took a physical plant tour of the inside of the facility at 10:25am. LPA's checked several outlets through out the facility and took photographs. Twenty-nine outlets had issues with the cords fitting loosely and the plugs falling out because the contact points start to wear down, Two outlets had the top plug in not working properly, and several outlets had missing or broken covers. Based on LPA's observation and photographs taken the facility this allegation is Substantiated at this time. Exit interview conducted, deficiency cited, copy of report and appeal right printed for care staff. Substantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2024 · control 29-AS-20240422232239

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: May 7, 2024

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on observation and photographs the licensee did not comply with the regulations above several electrical outlets were not working, were loose or covers were broken which poses a potential heath and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 30, 2024

Plan of correction: Administrator agreed to have an electrical company come out to replace outlets not working and replace all cracked or missing covers. Send invoices/receipts to CCL.

Allegation investigated: Staff dropped resident resulting in bruising.

As to the allegation of, “Staff dropped resident resulting in bruising“ On 08/29/2022 at approximately 6:15pm, Staff 3 (S3) attempted to assist Resident 1 (R1) with an incontinent issue. While using a Sit To Stand Lift, R1 was reported to have an assisted fall to the floor with S3 assisting with towel, according to incident report dated 08/30/2023, which resulted in bruising on the left wrist of R1. On 08/30/2022, R1 stated to a reliable witness that R1 had a fall because “staff had dropped” R1. On 09/01/2022, Licensing Program Analyst (LPA) Jeffries interviewed R1, R1 was not capable of being verbal at that time, however when LPA told R1 that he was there about a fall and asked R1, “did you have any bruising” R1 pulled their arm out from a blanket and showed LPA the bruising on R1’s left arm. LPA was given permission to take photographs of the bruising. Interview with S1 on 09/01/2022 stated that the Licensee provided training on the Sit To Stand Lift that was used during this fall in question, but did not remember the date or other staff that were also trained on the Sit To Stand Lift. On 10/26/2023, LPA interviewed S3 who was CONTINUED on LIC9099-C Substantiated the staff that assisted R1’s fall on 08/29/2023 according to the incident report and interview, S3 was able to recall the fall on 08/29/2023 in detail and stated that, “I’ve had training on Hoyer and Sara lift prior to working at this facility.” LPA asked S3 if they had ever been trained on the Sit To Stand Lift, S3 stated, “no”. On the initial investigation visit, LPA requested in writing that Licensee provide, Staff training records for any resident lift requirements (will need to request training records with Licensee at a later time) LPA also called Licensee on 09/01/2023 and made verbal request for those documents. On 09/02/2022, Licensee provided a training log for Hoyer lift, stating those trained were, “(Licensee) and a few … staff”, training did not specify which staff. On 10/25/2023, Licensee provide physicians script stating that “(facility) staff had been trained on sit to stand lift” on January 20, 25, and 27. But did not specify which staff. On 09/08/2022. Licensee provided a doctor’s order dated 09/02/2023, for R1 stating, “after prior verbal consent, staff may use Sara Lift when patient (R1) is not cooperating with sit to stand lift …” LPA noted that there was no lift orders or documentation that the physician issued a “verbal order” to use any assisted lift devices with R1 prior to the fall on 08/29/2023. Additionally, the staff that was attending to R1 during the fall on 08/29/2023 stated they had not had any assisted lift device training at this facility. The fall on 08/29/2022 resulted in bruising on R1’s left arm, while using the Sit To Stand Lift with staff that was not trained by admission and no documentation of training. Based on lack of documentation to support proper staff training, admission of no training on Sit To Sand Lift device, and staff to use assisted lift devices with R1 at the time of the fall that resulted in bruising, there is enough evidence to support the allegation of, “Staff dropped resident resulting in bruising” and is substantiated at this time. Exit interview, citation issued, appeal rights and report provided.the state’s words, verbatim · CDSS document, Oct 26, 2023 · control 29-AS-20220831083830

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87606(f)(3) · Plan of correction due date: Nov 9, 2023

87606 Care of Bedridden Residents (f) To accept or retain a bedridden person, a facility shall ensure the following:(3)Staff records include documentation of staff training specific to Care of Bedridden Residents. This requirement was not met by evidence of admission and no documentation of training on Sit To Stand Lift while assisting resident who fell, Which poses potential danger to resident in care.the state’s words, verbatim · CDSS document, Oct 26, 2023

Plan of correction: Licensee plans to review all training records and update records to comply with regulations standards, Licensee will update LPA by phone or email by 11/09/2023.

Type of visit: Required - 1 Year

At 11:00am on 10/26/2023, Licensing Program Analyst (LPA) Jeffries arrived at the facility to conduct and unannounced annual inspection visit. LPA met with Administrator Dimfna Koc de Jong announced who he was and the reason for the visit. LPA also issued final findings to complaint AS-20220831083830 during this visit. The facility consists of a two story house on a large property. The first level of the house consists of a dining room, sitting room, office, warming/staff kitchenette, a family room, 5 resident bedrooms and 2 bathrooms. The second level of the house consists of the living room, family room, dining room, main kitchen, laundry room, 4 bedrooms and 2 bathrooms. There is a deck off of the upstairs dining room and a ramp leads outside to the first floor. The facility has a swimming pool and spa that are gated and locked per regulation requirements. There are several outdoor areas with appropriate furniture and shade available. LPA toured facility with Administrator. The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning throughout the facility. There is a sprinkler system in the ceiling of facility that was last pressure tested by Mid Coast Fire on 04/03/2023.. Fire extinguishers were fully charged. Inside and outside passageways are free from obstruction. The facility temperature was 74 degrees F. Hot water temperature tested and within regulation parameters.. Residents’ rooms are appropriately furnished with adequate lighting. LPA observed more than two days of perishable and more than seven days of non-perishable food. Food is stored in proper containers in the refrigerators and freezers. A written disaster and mass casualty plan is readily available located on the facility office wall. Licensee and LPA conducted a full review of the annual control tools. LPA noted that one Technical Advisory was issued related the findings to the complaint that was derived this day on staff training documentation. No other citations issued during this annual inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Oct 26, 2023

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.