Complaint Investigation Report

342701286-11-26-2024-27-AS-KHOS-DBMSVG-20241204131244

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

08/20/2024 and conducted by Evaluator Christina Valerio

COMPLAINT CONTROL NUMBER: 27-AS-20240820160250

Facility staff are sleeping in garage without having an approved fire clearance

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to deliver complaint investigation findings. LPA Valerio met with facility staff Etta and another staff member, and explained the purpose of the visit. LPA Valerio contacted Administrator Beatrice via cell phone.

LPA Valerio conducted unannounced visits. On 08/29/24, LPA observed the furniture removed from a resident room and placed in the garage. According to staff interviews, the beds were from the previous resident that were in process. 3 out of 3 staff interviews denied any staff living in the garage. On 11/05/24, LPA Valerio observed the same furniture in the garage. The beds were observed to be dismantled and had folded extra linens on top. During 11/26/24's visit, the beds were in the same condition.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was left at the facility.