Complaint Investigation Report

045920038-10-23-2025-59-AS-LCRR-DMWP5K-20251029110053

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

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

10/13/2025 and conducted by Evaluator Kayla Adkison

COMPLAINT CONTROL NUMBER: 59-AS-20251013140255

Staff are financially abusing a resident.

On October 23, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of opening up a complaint investigation. LPA was greeted by Administrator, Michael Foz, and explained the purpose of the investigation. During the visit, 16 residents were in facilty and 2 staff were providing direct care. LPA and Administrator toured the facility and made observations.

Allegation: Staff are financially abusing a resident.

During the course of the investigation, LPA interviewed one (1) resident (R1), R1's responsible party and two (2) staff. LPA requested the following documents: R1's current LIC 602 and R1's emergency identification sheet.

It was alleged that a staff had accepted monetary gifts from R1. All parties interviewed denied this allegation ever occured. R1's LIC 602 did not indicate a dementia diagnosis and the R1's responsible party (RP) indicated this allegation was not a possibility as RP is responsible for managing the resident's finances.

The administrator noted that an All-Staff meeting is already scheduled for October 30, 2025, where this topic will be discussed and staff will be reminded that they are not to take any monetary gifts from residents regardless of their mental diagnosis. The adminstrator indicated they will reach out to R1's responsible party regarding any changes in the resident's mental condition in regards to their finances.

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. Exit interview conducted and a copy of this report was provided to Administrator , Michael Foz, via email.