Complaint Investigation Report

345002876-11-6-2023-59-AS-APEZ-CXCUP7-20231107144503

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

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

11/03/2023 and conducted by Evaluator Michael Hood

COMPLAINT CONTROL NUMBER: 59-AS-20231103161851

Facility staff are not receiving required training

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Caregiver, Stephanie Harmon-Christensen, to conduct a complaint investigation into the allegation listed above. During visit owner, Mark Graham, gave permission for caregiver to sign report.

During today's visit, LPA reviewed documentation pertinent to the investigation. During visit, LPA reviewed five caregiver files for staff members S1, S2, S3, S4, and S5. LPA observed that no staff files reviewed had any trainings documented, including CPR, first aid, and any annual or initial training.

Based on records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D page. Exit interview was conducted. A copy of this report and appeal rights were provided.