Complaint Investigation Report

342700489-9-7-2023-59-AS-MSEY-CVGRYA-20230908132600

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

09/01/2023 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20230901083711

-Staff negligence resulted in resident sustaining (2) stage IV pressure injuries.

Licensing Program Analyst (LPA) Angela Hood arrived at the care home and met with Caregiver, Charles Ankrah, to close the complaint into the allegation listed above.

This complaint was filed under the wrong facility.

Due to complaint not applying to this facility, 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.

No deficiencies are being cited. Exit interview conducted. A copy of the report provided.