Complaint Investigation Report

312700574-6-23-2026-59-AS-TORZ-DVJUD3-20260630152853

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

04/10/2026 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20260410110400

Staff did not provide a safe environment for resident in care

Licensing Program Analyst (LPA) Graham Gunby arrived on 06/23/2026 to deliver findings to a complaint the department received on 04/10/2026. LPA met with ED, Aileen Enriquez and explained the purpose of this visit.

The department conducted staff and residents' interviews, reviewed records to investigate the allegation. Through interviews with staff, it was stated R1 did not have unwanted visitors when residing at the facility. R1’s medical assessment (LIC602) which the facility provided, stated R1 is diagnosed with bipolar disorder and resided in memory care. Entry into the memory care unit requires a sign in and escort to the residents. Interviews with staff indicated R1 was typically in good spirits, but would have behaviors consist with sundowning. R1 explained that a fungus had appeared on their skin while at the facility. The facility provided prescription orders for a topical cream to be applied to the area. Through MAR review, there is no evidence that staff fail to properly administer resident's medications. Medications appear to be given as prescribed. This agency has investigated the complaint alleging staff did not provide a safe environment. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview was conducted and copy of the report has been provided.