Complaint Investigation Report

347003712-7-13-2026-59-AS-LMUZ-DVYPGW-20260714111902

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

04/29/2026 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20260429134327

Staff did not administer resident's medication as prescribed.

On 7/13/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Kristie Wardlow LVN.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Based on resident interviews, staff interviews, and a review of facility records, there was insufficient evidence to support the allegation. Documentation reviewed, including medication administration records, indicated that staff followed the physician’s orders and the facility’s medication administration procedures. Interviews with staff and the resident were consistent with the documentation reviewed. Therefore, the allegation that staff did not administer the resident’s medication as prescribed is 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.

Exit interview conducted. Report left with facility.