Complaint Investigation Report

345002983-3-12-2025-59-AS-APEZ-DG6KZX-20250428082126

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

12/03/2024 and conducted by Evaluator Cassie Yang

COMPLAINT CONTROL NUMBER: 59-AS-20241203135004

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to deliver the finding. LPA met with facility registered nurse and explained the purpose of the visit.

Allegation: Staff verbally abuse clients in care.

Throughout the course of this investigation, LPA conducted extensive interviews. Based on interview conducted regarding S1 verbally abuse clients, S2 revealed S2 has witnessed S1 telling C1 comments such as "where is your brain?". S2 stated C1 has limited verbal communication. Based on interview conducted with S3 revealed S3 has witnessed S1 making inappropriate comments to C1 such as "you have a big mouth, but no brain". Based on interview conducted with C2 revealed S1 has told C2 to shut up when C2 scream and/or yell. Therefore, the allegation is substantiated.

Due to this information obtained, the Department finds the allegations to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies cited on the attached LIC 9099-D.

An exit interview was conducted, a copy of the report and appeal rights provided.