Complaint Investigation Report

347005547-7-16-2025-27-AS-SRIN-DP825F-20251209160529

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

07/10/2025 and conducted by Evaluator Vincent Moleski

COMPLAINT CONTROL NUMBER: 27-AS-20250710135002

Facility failed to provide reimbursement for a deceased resident.

Licensing Program Analyst (LPA) Vincent Moleski and Licensing Program Manager (LPM) Stephen Richardson arrived unannounced to open this complaint investigation. LPA Moleski and LPM Richardson met with operator Corina Dragnea and explained the purpose of the visit.

These allegations are determined to be UNFOUNDED because at the time of this visit and at the time the complaint was received by the California Department of Social Services (CDSS), this facility's license has been forfeited. The CDSS Community Care Licensing Division (CCLD) does not have the authority to investigate allegations made at unlicensed locations, as they are outside of departmental jurisdiction.

An exit interview was held and a copy of this report was left with Dragnea.