Complaint Investigation Report

347002829-12-16-2025-59-AS-LMUZ-DPHSQJ-20251219130446

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

11/25/2025 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20251125141255

Administrator submitted forged education records to Community Care Licensing.

Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 12/16/25 to do the complaint investigation for above allegations. LPA met with Administrator, Gabriel Bachis and explained the purpose of the visit.

Throughout the course of the investigation the department reviewed records and conducted interviews with staff relevant to the complaint allegation. Staff interviews indicated that they were not aware of any forged documents which were submitted to department and denied any wrongdoings. Record review revealed that facility submitted all required documents to the department per Requirements and there were no forged documents. Based on the information gathered, this allegation was UNFOUNDED- meaning that the allegation was false, could not happened and/or is without a reasonable basis.

Per California Code of Regulation, Title 22, No citations were issued.

An exit interview was conducted and a copy of this report was left at the facility.