Complaint Investigation Report

312700019-7-21-2026-59-AS-LMUZ-DWDVFP-20260727162415

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 2525 NATOMAS PARK DR STE 270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/14/2026 and conducted by Evaluator Bethany Mirlohi

COMPLAINT CONTROL NUMBER: 59-AS-20260714090233

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to open complaint investigation. LPA met with Administrator Kristine Clawson during today's inspection.

During today's inspection LPA toured the facility and interviewed Administrator. Administrator stated they have replaced flooring in some areas on the 1st floor with lament flooring and they receive carpet cleanings for each floor one every 3 months from an outside company. Administrator stated they have a maintenance team that spot cleans as well. During the facility tour LPA toured the common areas on the 1st and 2nd floor. LPA observed some areas have been replaced and had no marks or stains. LPA observed large dark stain marks throughout carpeted common areas, and areas that looked like a deep cleaning was necessary. The large stain marks appeared to be spills and there is heavy wear tear throughout carpet areas.

Due to the information gathered and observed, LPA finds allegation to be substantiated. Deficiencies cited on 9099-D. Appeal rights provided.