Complaint Investigation Report

045002773-5-9-2023-25-AS-KHOS-CSCQS8-20230531122508

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 2525 NATOMAS PARK DR STE 270

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

07/11/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20220711103123

Facility fire alarm system is in disrepair.

On 07/15/22, Jaclyn Avila, LPA conducted a complaint investigation at the facility and listed one of the allegations as “Facility Fire Alarm System is in disrepair.” LPA Avila substantiated the allegation in the narrative of the report; however, did not give the facility a citation, as required.

LPA Avila stated in her report "In June of 2022, Roseleaf Oroville experienced the fire alarm system malfunctioning at which time they reached out to the vendor who inspected the system. The vendor recommended the system be replaced due to the system being antiquated and provided the invoice to the administrator who provided it to the Chief Operating Officer for the licensee. To date the system has not been replaced as recommended. Deputy Fire Marshal joined this department in a tour of the facility and strongly recommended the fire alarm system be replaced. Three egress lighting units did not function during the inspection on 7/15/2022 at 3:50 PM. These lights are instrumental in the event there is a power outage."

In an effort to amend the report, this document is being amended to reflect the required deficiency. Appeal Rights provided.