Complaint Investigation Report

347005580-1-17-2025-59-AS-LMUZ-DD732F-20250122165150

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

01/10/2025 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 59-AS-20250110164045

Staff inappropriately spoke to resident in care.

Licensed Program Analyst (LPA) Cassandra Mikkelson and Licensed Program Manager (LPM) Laura Munoz arrived at the facility to conduct a complaint investigation. LPA and LPM met with Executive Director Darrell Price and explained the purpose of today's visit.

This property is divided into (2) two sections. The assisted living (AL) section is licensed by CCL and the skilled nursing (SN) section is licensed by Department of Public Health. Mr. Price provided a resident roster to LPA and LPM. Based on the resident roster, the resident who is the subject to this complaint resides on in SN. Staff are not shared between AL and SN of the facility.

Based on interviews conducted and records reviewed, the allegation that staff inapproriately spoke to residents in care did not occur in AL therefore the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview was conducted with Administrator. A copy of this report was provided.