Complaint Investigation Report

097005554-8-22-2023-59-AS-LMUZ-CV9UJR-20230901153754

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

08/16/2023 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20230816112709

Licensee did not maintain liability insurance

Licensing Program Analysts (LPAs) Lavinia Muscan and Jaynae Boyles arrived at the facility unannounced on 8/22/23 to open and deliver findings for above allegation. LPAs met with Administartor Jennifer Hinch and explained the purpose of the visit.

Allegation: Licensee did not maintain liability insurance

Based on record reviewed, the department observed facility to have current liability insurance therefore, department finds the allegation to be unfounded - A finding that a complaint allegation is unfounded means that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted with Administrator and a copy of this report has been provided to facility.