Complaint Investigation Report
342701159-12-19-2024-27-AS-KHOS-DD6KUN-20250122071300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/18/2024 and conducted by Evaluator Victoria Brown
COMPLAINT CONTROL NUMBER: 27-AS-20241218125105
Staff does not have required first aid training
Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 12/19/24 at 12:30pm to conduct an investigation of the above mentioned allegation. Upon arrival LPA met with Administrator Beatrice Clark and stated the purpose of the visit. LPA requested to review staff #1 (S1) file during this visit. LPA provided a copy of the LIS printout for staff clearances. LPA observed that S1 is finger print cleared and associated to the home. Upon a file review LPA observed that S1 has a CPR/First Aid certificate dated 4/5/24 which is valid for 2 years. LPA also observed other documented trainings that S1 has completed and a Nursing Assistant certificate valid until 8/19/25 for Washington State Department of Health.
Based on interview, documentation, and that there was no incident that occurred which warranted S1 to provide CPR/First aid, the allegation is deemed Unfounded. "The allegation is UNFOUNDED, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. This Department has therefore dismissed the complaint." Per California Code of Regulations, no deficiencies were observed or cited. Exit interview held, and a copy provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction