Complaint Investigation Report

342700783-6-17-2026-59-AS-LMUZ-DVHNS3-20260629104228

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

06/12/2026 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20260612144045

On 6/17/26, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to do complaint investgation for allegation listed above. LPA met with administrator, Sevrena Miller during today's visit and explained the purpose of the visit.

The Department record review and interviewed staff and resident regarding this allegation. Record review reflected that resident, R1 and the department and R1 was provided copy of Eviction Notice (dated -6/10/26) which was issued per department's guidelines. R1 interview indicated that eviction notice was issued due to non payment and other issues and there were no reference of any monthly rate increase as it was mentioned during complaint filing. R1 stated that they were looking for another place to move out at this time. Staff interview reflected that R1 was given eviction notice for non payment and other issues and there was never a discussion to increase R1s monthly charges for basic services. Based on this information, this allegation was UNFOUNDED. A finding that the allegations are Unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

No citations were issued. Exit interview conducted. A copy of this report has been provided to facility.