Complaint Investigation Report

342700800-2-7-2023-27-AS-LKIG-CP5TLW-20230217135012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/06/2022 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20221206111504

Resident sustained an injury while in care due to lack of supervision

Facility did not report incident to department

LPA Lewis arrived unannounced to the facility and met with Administrator to deliver investigation findings.

LPA Lewis has determined that the allegations are unfounded. LPA toured facility, interviewed staff and reviewed resident files. It appears that the facility have never had a resident by the name of R1. Elk Grove police was also contacted they have no recored of any calls to the adress of the facility. No supporting information to the allegations was discovered. Complaint is deemed to be unfounded at this time.

As a result of this investigation, Investigator finds allegation to be (U) Unfounded - A finding that the complaint is Unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were cited during this visit. An exit interview was conducted, and a copy of this report was provided via email to the facility.