Complaint Investigation Report

342700761-6-3-2026-59-AS-TORZ-DVBSQV-20260623140522

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

05/27/2026 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20260527102138

Licensing Program Analyst Hiratsuka, conducted this unannounced complaint visit.

LPA toured the facility and interviewed staff. LPA observed the shower in the main shower room and it worked. Two staff members showed LPA the shower head worked and both stated there hasn't been any issues with it. LPA didn't observe any leaks or defects in the shower. There is a second shower in a private bathroom that is not in use at the moment because the resident who occupies the room is unable to use it. LPA toured the facility and did not observe any physical plant issues.

Based on the above, the allegaion is unfounded.

A finding that an allegation is UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis.