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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00054549 Site Location: 2319 PACIFIC AVE <br />Received by: EE0006213 PEDRAZA Received Date: 12/29/2021 <br /> Complaint Received Via: PHONE <br />Assigned To . EE0006213 PEDRAZA <br /> Assigned Date: 12/29/2021 <br />Program/Element Code D004 - 2020 COVID-19 <br />Nature of complaint: <br />COMPLAINANT STATES 3 EMPLOYEES BECAME ILL WITH COVID AND THE FACILITY IS STILL OPEN. <br />PROPERTY INFORMATION <br />Facility: FA0021666 - MIDTOWN CREPERIE & CAFE <br />Site Location 2319 PACIFIC AVE <br /> District 002 - MILLER, KATHERINE <br />STOCKTON, CA 95204 <br /> Location Code 01 - STOCKTON <br />Cross Street <br /> APN 11335410 <br />Complaint Status: <br />( ( /3 1. 2 Date Abated: Abated By: <br /> Z(3 <br />Activity Summary <br />Activity Date Recorded by <br />01/13/2022 I called the facility and spoke with the owner regarding the complaint. She PEDRAZA <br />informed me that there were 3 employees that became ill with covid on 12-27-21. <br />The employees went home. She closed the facility on 12-7-22 and sanitized the <br />facility and reopen on 12-31-21. The employees that were ill were cleared on <br />1-3-22 but did not returned to work until 1-5-22. <br />5105 rpt <br /> <br />Page 1 of 1