Complaint Investigation Report

342700157-7-14-2025-59-AS-LMUZ-DKBR4P-20250807124149

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

07/09/2025 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20250709104444

Staff does not ensure facility elevator is in good repair.

On 07/14/25, Licensing Program Analyst (LPA) Talwinder Bains arrived at the unannounced to do complaint investigation into the allegation listed above and met with administrator, Maria Susie Dizon and explained the reason of today's visit.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. Based on interviews and records reviewed, the elevator broke on 07/09/25 and facility reached out same day to company who will repair it. Per facility records and interviews, repair company ordered the broken part and elevator was fully fixed on 07/22/25. Although the elevator was temporarily not in service, the plan to get residents downstairs was implemented and therefore the allegation is unfounded, as there was no harm caused to residents in care. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Exit interview was conducted with administrator and a copy of this report was provided to the facility.