Complaint Investigation Report
342701264-8-22-2024-27-AS-KHOS-D8JLNK-20240827085429
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
06/25/2024 and conducted by Evaluator Tung Truong
COMPLAINT CONTROL NUMBER: 27-AS-20240625133657
Facility staff physically abused resident in care resulting in injuries
Facility staff verbally abused resident in care
Facility staff did not allow resident access to personal cell phone
Facility staff mismanaged resident's medication
On 8/22/2024, Licensing Program Analyst (LPA) Tung Truong arrived unannounced to complete and delivery findings for a complaint investigation received on 6/25/2024. Upon LPAs arrival, Caregiver Ebelechukw Ifyefobi was present and contacted Administrator Theresa Nwabeke. LPA and Administrator Theresa Nwabeke discussed the conclusion for complaint and the findings. Administrator gave consent for Ebelechukwu to sign this report.
Throughout the course of the investigation, LPA conducted interviews and reviewed records. Based on record reviews, and staff and client interviews, there is insufficient evidence to support the allegations mentioned above. Based on client interviews, all clients stated that they were not being physically or verbally abused by staff. Clients stated staff did not take away any of their belongings. Clients stated they get their medications as prescribed. Client (R1) admitted to making false statements in regard to the allegations above. Based on staff interviews, staff denied the above allegations. Based on records review, client (R1) has a history of problematic behaviors including making false statement, aggression and property destruction.
As a result of the investigation, LPA finds the allegations above to be UNSUBSTANTIATED- A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Exit interview was conducted and a copy of the report was provided upon exit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction