Complaint Investigation Report

347000389-11-4-2025-59-AS-MSEY-DNJU8U-20251118142207

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

10/15/2025 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20251015145948

-Staff did not provide alternative housing resources in eviction notice issued to resident

-Facility is not providing toilet paper to resident

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director, Dana Stansel, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. LPA received a copy of the of the eviction notice sent to resident (R1) along with the signed certified mail proof of service dated May 13, 2025. The eviction notice provided indicated an alternative housing and care option in the area. LPA interviewed R1 who indicated that toilet paper is supplied to them. R1 indicated that, if they run out of toilet paper, they ask staff and will be provided more. LPA interviewed housekeeping who indicated that they provide two (2) rolls of toilet paper per week. Housekeeping indicated that when a resident needs more they will provide additional rolls.

Based on documentation reviewed and interviews conducted, the above allegations are found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. No deficiencies are being cited.

Exit interview conducted. A copy of the report was provided.