Complaint Investigation Report

045000700-11-20-2025-59-AS-TORZ-DNS3NV-20251125172433

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

08/21/2025 and conducted by Evaluator Ivan Avila

COMPLAINT CONTROL NUMBER: 59-AS-20250821160027

Staff did not ensure changes in residents health condition were observed and addressed

On November 20, 2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Melissa Aceves and explained the purpose of the visit.

During the investigation process, interviews and a review of records were initiated.

LPA investigated the allegation, “Staff did not ensure changes in residents health condition were observed and addressed.” Based on interviews it was indicated that R1's change in condition was addressed immediately. LPA observed documentation that Administrator had been in communication with the Regional Center regarding R1’s condition.

Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. A copy of this report was left at the facility.