Complaint Investigation Report

032701408-10-10-2025-27-AS-LKIG-DMVUX3-20251028155739

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

08/21/2025 and conducted by Evaluator Noel Wolf Petersen

COMPLAINT CONTROL NUMBER: 27-AS-20250821112407

Facility staff made inappropriate comments to resident.

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced 10/10/25 to conduct a complaint investigation into the above allegation, LPA Met with Cheryl Boehme and Nataliya Regan and explained the purpose of the visit.

Physcial Plant Inspection and other concerns were addressed in a seperate case management with this date. Over two visits, LPA interviewed 5 staff and 8 residents in connection with the complaint. no consensus statement emerged, the LPA recived conflicting unwitnessed narratives that were not corroberated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No citations were given in connection with this visit, A copy of the appeal rights were left with the administrator. An exit interview was conducted, a copy of the report was read and given to the administrator.