Complaint Investigation Report

345920088-5-14-2025-59-AS-KHOS-DGPR27-20250515123752

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

05/06/2025 and conducted by Evaluator Cassie Yang

COMPLAINT CONTROL NUMBER: 59-AS-20250506211549

Due to staff's neglect, Resident was physically and verbally abused by another resident.

On May 14, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to investigate the allegation of the complaint. LPA met with Administrator and explained the purpose of the visit.

Allegation: Due to staff's neglect, Resident was physically and verbally abused by another resident.

The Department conducted interviews and file reviews. Based on interview conducted with Administartor, it revealed R1 has had a change in antipsychotic medication which has caused behavioral change. File review revealed facility has been adjusting R1's medication to get R1 back to baseline. Interview conducted with R2 revealed the incident occurred "out of the blue" and that staff intervened immeidately. Based on information above, the Department concluded that the allegation is unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies cited.