Complaint Investigation Report

315002907-1-16-2024-59-AS-MSEY-CZKTES-20240117134023

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

06/27/2023 and conducted by Evaluator Melissa Parks

COMPLAINT CONTROL NUMBER: 59-AS-20230627090704

Licensing Program Analyst Melissa Parks arrived on Tuesday January 16, 2024 to deliver findings for the above allegation.

LPA met with staff and discussed the allegation. LPA spoke with Administrator on the phone. This complaint was assigned to the wrong facility. While R1 did live at this facility, they were not a resident here at the time the allegation was reported to have occured. LPA will open a new complaint at the appropriate facility.

Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. A copy of this report was emailed to the Administrator.