Complaint Investigation Report

315002096-4-29-2026-59-AS-LMUZ-DTRTGD-20260504144257

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

04/24/2026 and conducted by Evaluator Melissa Parks

COMPLAINT CONTROL NUMBER: 59-AS-20260424095140

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Wednesday April 29, 2026, to deliver findings for a complaint received on 4/24/2026. LPA met with Licensee Petre and explained the purpose of the visit.

The result of the investigation is as follows: LPA learned that Petre obtained R1’s credit card in October of 2025. The licensee charged R1’s credit card approximately 62 times in October 2025; 9 times in November 2025; 22 times in December 2025 and 5 times between January and March 2026 for a total of $10,189.22.

Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiency cited on 9099-D. Appeal rights were given. A copy of this report and appeal rights were provided to the facility.