Complaint Investigation Report

312700574-11-21-2025-59-AS-TORZ-DPMAE8-20251222230908

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

11/14/2025 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20251114121656

On 11/21/2025, Licensing Program Analyst (LPA) Graham Gunby arrived unannounced and met with the Executive Director, Keith Payne, to deliver complaint findings for the above allegation.

LPA reviewed resident records, facility records and conducted interviews. Staff kept progress notes for R1 which stated that R1 is refusing incontinence care. Through interviews with staff, R1 does not like to be changed constantly. Through record review and staff interviews, R1 has no control over their bowel movements and will refuse changing until it is convenient for them. R1 stated they have no concerns about the level of care being provided by the facility.

Based on information above, the department concluded that the allegation is unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted. A copy of the report was provided to Executive Director, Keith Payne.