Complaint Investigation Report

342700070-9-3-2025-59-AS-MSEY-DL7KYG-20250904081904

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

06/02/2025 and conducted by Evaluator Sabrina Calzada

COMPLAINT CONTROL NUMBER: 59-AS-20250602134335

Uncleared adult(s) are present in the facility.

Residents were exposed to a staff member with Tuberculosis.

Licensing Program Analyst (LPA) Sabrina Calzad arrived unannounced to deliver findings to a complaint received on June 2, 2025 and met with Lourdes dela Paz, Administrator and Dennis Abadilla, Administrator Designee. (3) clients were attending day program and (1) client was present during today's inspection, who LPA observed. The findings are follows:

During the investigation, it was determined that the alleged uncleared adult (S1) was never present, or worked, at this facility but at a related facility. The Department received documentation (S1) was finger print cleared before being hired, as well as all other staff. Individual (S2) was also never present at this facility but at a related one. The facility provided negative results of TB testing for all clients and staff at this location, and at the related location. A follow up case management will be conducted at the related location. Based on information obtained, both (2) allegations were determined to be UNFOUNDED- An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.