Complaint Investigation Report

342701489-9-16-2025-27-AS-LRIS-DQAU3T-20260113141405

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

09/08/2025 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20250908115645

Due to a lack of staff, resident was left on the floor for an extended period of time

On 09/16/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility at approximately 8:15 am to open and present findings for a complaint. LPA Campbell met with Haykush Harutyunyan, Licensee and explained the purpose of the visit.

Regarding the complaint that, resident was left on the floor for an extended period of time due to lack of staff, LPA Campbell interviewed C1, C2, F1 and F2. Per C1 and C2, C1 fell while going to the bathroom during the night and was unable to get up. C1 called for help but no staff came. When C2 woke up, both parties called for help and still no staff arrived. C2 then called F1 by phone. Per F1, C2 called them at approximately 6:30 am. At the time of the call, C2 stated, “We've been yelling for them to come and no one comes”. F1 called the facility and all calls went directly to voicemail or were not answered. F1 contacted F2 as well. Using their call logs, F1 and F2 were able to confirm that this incident occurred between approximately 6:45 am and 7:30 am. This does not include the time that C1 and C2 were unable to contact staff while C1 was incapacitated on the floor. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit interview was conducted, and copies of the report and appeal rights left.