Complaint Investigation Report

097004177-4-27-2026-59-AS-LMUZ-DTRTFS-20260504144200

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

01/30/2026 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20260130142011

Staff did not prevent a resident from physically assaulting another resident

On 04/27/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Assisted Living Director Jennifer Hinch. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

The Department conducted interviews and reviewed facility records including incident reports and care and supervision documentation. The investigation confirmed that a resident-to-resident altercation occurred; however, evidence did not establish that staff failed to provide appropriate supervision or that staff actions or inactions contributed to the incident. Available information indicates staff responded consistent with facility policies and intervened upon awareness of the incident. Although the incident occured, the preponderance of evidence does not support a finding that staff failed to prevent assault. Therefore, the allegation is determined to be UNSUBSTANTIATED.

Exit interview conducted. Report left with facility.