Complaint Investigation Report

315002794-10-19-2023-59-AS-MSEY-CWVNPW-20231023103901

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

09/27/2023 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20230927111558

On 10/19/23, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with the licensee.

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

LPA conducted interviews with R1, R2 and R3, licensee, administrator and home health personnel.

No interviewee could significantly corroborate the incident alleged personal rights violations.

Residents interviewed stated that their care needs are met by caregivers.

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.