Complaint Investigation Report

345002854-12-17-2025-59-AS-LMUZ-DPHSRK-20251219130630

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

11/03/2025 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20251103113029

Licensee does not ensure that staff have health screening.

On 12/17/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegations listed above. LPA met with Administrator, Preston Summerhays during today's visit and explained the purpose of the visit.

Throughout the course of the investigation, the department reviewed records and conducted interviews with staff relevant to the complaint allegation. Staff interviews indicated that facility did not ensure all new hired staff have TB tests completed as required per Regulations. Record review reflected that facility did not complete TB test for seven (7) out of (8) staff hired from August to September 2025 which was required per Title 22 Regulations under regulation 87411(f). Based on the information gathered, the preponderance of evidence standards has been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached LIC 9099-D page.

Exit interview conducted. Appeal rights and a copy of this report were provided.