Complaint Investigation Report

342700722-6-18-2025-27-AS-LKIG-DHZLYW-20250626091102

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

06/13/2025 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20250613110050

Staff do not ensure the facility's elevator is properly operating

Staff are not meeting the fire safety requirements

Staff did not timely respond to the residents council

On 6-18-25, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to open a complaint investigation for the allegations noted above. LPA met with Administrator Elena Cuevas and explained the purpose of the visit. LPA requested a copy of facility's elevator repair invoices, service agreement, elevator permit and response to resident council. LPA also interviewed Executive director Elena Cuevas.

Based on documents reviewed regarding elevator maintenance and LPA' S observation on the elevator permit along with documents from resident council and written response dated one (1) after request was made from council the allegations Staff do not ensure the facility's elevator is properly operating, Staff are not meeting the fire safety requirements and Staff did not timely respond to the residents council are UNSUBSTANTIATED. A finding of unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation occurred.

An exit interview was conducted, and a copy of this report was provided to Elena Cuevas.