Complaint Investigation Report

342700186-6-19-2026-59-AS-TORZ-DVBST9-20260623140912

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

04/24/2026 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20260424130202

Staff did not treat resident in care with dignity and respect

On 6/19/26, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Administrator.

LPA conducted records review, room inspections and extensive interviews.

LPA is unable to find and or meet the preponderance, per policy.

The allegations involved R1 alleging a hostile interaction with staff. Interviews with staff, other residents and R1 were unable to determine what exactly was said by whom during the interaction in question.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.