Complaint Investigation Report

347005467-2-21-2024-59-AS-MSEY-D2TQY8-20240226113440

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

02/14/2024 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20240214150905

On 2/21/24, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Executive Director to deliver investigation findings.

LPA reviewed staff records, facility records, and conducted interviews.

LPA finds that facility met Tittle 22 requirements.

LPA interviewed the Director and reviewed R1's admission agreement. R1 resided at the facility for 1 day and decided to move out. Resident moved out but continues to have until March 4 under their 30 day notice.

The licensee has committed to reimburse more than is required.

This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided.