Complaint Investigation Report

315001968-7-14-2026-59-AS-LMUZ-DW6R2F-20260720123816

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

07/07/2026 and conducted by Evaluator Melissa Parks

COMPLAINT CONTROL NUMBER: 59-AS-20260707114703

Staff did not ensure resident records were properly secured

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday July 14, 2026, unannounced to conduct a complaint visit regarding the above allegation. LPA met with Senior Executive Director Barbara and explained the purpose of the visit.

LPA interviewed the Administrator regarding the allegation. LPA learned the following: On July 7, 2026, the front desk sent a mass email to all residents and families. Instead of an attachment regarding leadership coverage for the facility being sent, mistakenly an excel spreadsheet including resident names, apartment numbers, responsible parties, and responsible party contact information was sent. Once the mistake was discovered, Barbara sent a follow-up apology email and a request to delete confidential information. 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 conducted. A copy of this report and appeal rights were provided.