Complaint Investigation Report

317002366-6-29-2023-59-AS-KHOS-CUSHYF-20230817063639

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

05/24/2023 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20230524140901

On June 29, 2023 LPA Tryon visited the facility to finish the complaint. LPA met with staff Steven Mackie.

LPA has reviewed information and I have spoken with the resident involved in the incident.

During my last visit on 5/26/2023, LPA met with resident, who completely recanted his story and allegations. He stated that the whole incident was caused by him, and staff in no way physically abusive. Staff was simply reacting to the behavior and attempted to de-escalate the situation and protect the residents. At this time it is not possible to say that everything went in the best way possible, but it appears that staff attempted to act appropriately in the situation; and resident claimed responsibility for the situation.

Allegation is Unsubstantiated. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.