Complaint Investigation Report

315920079-1-14-2026-59-AS-MSEY-DQDTY3-20260116140805

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

12/02/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20251202074543

On 1/14/26, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Admin.

LPA conducted records review and interviews.

LPA is unable to find and or meet the preponderance, per policy.

Investigation found that R1 resided at this home for a short time. During R1's time in the home admisiion paperwork and payment were not yet completed. Though R1's condition had not changes, emergency responders were called and agreed to take R1 to the hospital. From the hospital, arrangement was made to transport R1 to a diffferent facility. LPA conducted a collotaeral visit to R1's new home and found R1 to not suffer and negative effects from the transfer. Licensee denied evicting R1 nor deny R1 a return from hospitalization.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.