Complaint Investigation Report

317005526-10-7-2024-59-AS-KHOS-DA6PYF-20241018114353

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

06/11/2024 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20240611154355

On 9/11/2024 LPA Tryon visited the facility to complete the complaint. LPA met with Karissa Blair, Case Manager.

During the course of the investigation LPA has toured the facility; interviewed 5 of 6 staff and interview 2 clients.

Regarding the allegation that staff yell at clients, LPA learned that there was a staff person in the past who may have "yelled" at clients, such as through a door. However, there is no indication that the staff was actually heard by a client or that there was a reaction. The staff person in question was terminated. In recent months, no one gave any indication that any staff has yelled at a client. Allegation is UNSUBSTANTIATED.

Regarding the allegation that staff humiliate the clients, Some evidence was found that a former staff person may have teased a resident regarding food. However, that staff person's employment has been terminated, and no one has witnessed any current staff attempting to humilate clients in any way. Allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that although the alleged violation may have occurred, there is not enough evidence to prove the allegation. This is an amended document.