Complaint Investigation Report

342700903-11-7-2023-27-AS-LRIS-CXS2QZ-20231120163646

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

03/13/2023 and conducted by Evaluator Liza King

COMPLAINT CONTROL NUMBER: 27-AS-20230313102459

Financial issues: Owner is forcefully requesting financial bank information

Sacramento South Regional Office held an office meeting via Microsoft teams on 10/25/23 at 11:00 AM. The purpose of the meeting was to discuss Solvency and Trust Audit Report Findings. Present in today's meeting were Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Maja Jensen, LPA Christina Valerio, Gereral Auditor (GM) Jorge Mojica, and Licensee/Administrator Justice Ehimaiegho.

Based on interviews conducted with facility staff, residents, and family/payee/conservator -there is no evidence facility staff misappropriated resident's monies or that they applied undue influence on residents (for financial gain) therefore the allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it.

No citations are being issued as a result of the investigation in to this allegation. A copy of this report and appeal rights were provided to the Licensee.