Complaint Investigation Report

315003016-5-5-2026-59-AS-LMUZ-DTTNVQ-20260506104821

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-20260424101341

Staff did not follow infection control practices

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday May 5, 2026 unannounced to conclude a complaint which was received by the Department on 4/24/2026. LPA met with acting Executive Director Heidi and explained the purpose of the visit.

LPA interviewed the acting Administrator, staff, and home health regarding the allegation. LPA learned the following: North Star Senior Living, the management company for this facility, has an infection control policy and procedure for staff to follow. Per staff, this was not being followed. Specifically, staff did not immediately contact primary physicians regarding scabies exposure, bagging and sealing clothes for 14 days, and cleaning/disinfecting furniture.

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.

Exit interview. Copy of report and appeal rights provided.