Senior Care Records.

Complaint Investigation Report

Paulette & Mattie's Family Home, Auburn05/04/2023Licence 317002366

Census6
Date signed05/04/2023 12:29:20 PM
The inspector’s account

317002366-5-4-2023-59-AS-KHOS-CRM2VG-20230507174356

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

05/02/2023 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20230502134759

On 5/4/2023 LPA Tryon visited the facility to open the complaint. LPA met with staff Steven Mackie.

LPA viewed the back yard and fence there is a section of the fence that is about 30 feet long that is partially leaning and partially down on the ground. Mr. Mackie said that they have been speaking with the homeowners insurance company to attempt to obtain some funding for the repair, but they have not had any success to date.

This broken fence appears that it could pose a potential threat to residents, staff or neighbors. Allegation is SUBSTANTIATED.

The following deficiency is cited as per Title 22 Regulations. Exit interview conducted, appeal rights given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction