Complaint Investigation Report

315002795-8-6-2025-59-AS-LMUZ-DKFVL3-20250811163117

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

07/30/2025 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 59-AS-20250730144336

Licensee does not ensure that facility license number is included in advertisement

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Balwinder Rai to open the complaint for the above complaint allegation.

During the investigation, LPA conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

Licensee does not ensure that facility license number is included in advertisement

Observations of advertisements provided at the facility indicate that the facility license number is on all advertisements except the administrator business cards. Therefore, the allegation licensee does not ensure that facility license number is included in advertisements is substantiated.

Exit interview conducted. Appeal rights provided.