Complaint Investigation Report

315920222-12-23-2025-59-AS-LMUZ-DPUSXF-20251230131554

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

12/16/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20251216113536

Facility staff threaten resident in care.

On 12/22/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit and delivered the findings for the above allegations and met with the Administrator.

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

LPA interviewed R1, Administrator, S1 and S2.

R1 stated to LPA that no staff have spoken to them in a threatening way. S1, who was a staff present at the alleged incident, denied S2 stated to R1 that S3 would harm R1. S2 stated that they had told R1 S3 could assist them if R1 wanted a different caregiver, and S2 denied threatening R1.

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.