Complaint Investigation Report

345002881-4-23-2026-59-AS-TORZ-DTNSED-20260501134835

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

03/09/2026 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20260309133210

Staff lock resident in their room for extended periods of time while in care.

Staff do not provide adequate care and supervision to resident in care.

On 4/22/26 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings.

LPA reviewed resident records, and conducted interviews.

LPA finds that facility met Tittle 22 requirements.

Three of 5 residents present were observed to have care needs met. 2 residents are in hospital.

LPA intended to interview R1. R1 has voluntarily moved to a private residence.

LPA spoke by phone with a housing navigator for R1. R1's location and contact could not be disclosed. Navigator, however, provided information of R1's status and that allegations were fabricated in order to be removed from the home. Navigator expressed utmost praise for the care R1 received at the home.

This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

Report reviewed with Admin. Due to computer issue, report sent by email for signature.