Complaint Investigation Report

315920211-10-23-2025-59-AS-MSEY-DN3MCK-20251103082936

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

08/28/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20250828085730

Staff interacts with resident in an inappropriate manner

On 10/23/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with caregiver/ designee Scvonda Peters- Robertsaon.

LPA conducted records review and extensive interviews.

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

Regarding staff interactions with R1, interviewes of R1 and caregivers found varying accounts of events. No other residents or impartial witnesses were identified nor stated similar concerns regarding staff interactions.

LPA reviewed shift notes and activity schedule sheets for R1. LPA requests copies of all shift and activity notes be copied to LPA by 10/27/25.

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.