Complaint Investigation Report

347005181-5-20-2025-59-AS-MSEY-DH3LYS-20250527091046

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

03/17/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20250317082226

SAC ADP DBA AIM HIGHER-ACE PROGRAM (D1-D2)

Facility is not operating within required staff to client ratio.

On May 20.2025, Licensing Program Analyst (LPA) Kevin Mknelly spoke to the Assistant Director to deliver complaint findings for the above allegation.

LPA reviewed records and conducted interviews.

LPA finds that the allegations cited above are substantiated.

LPA reviewed client and staff attendance and daily logistics sheets. Records showed inconsistencies indicating days of out of ratio of 1 (one) staff per 4 (four clients).

Interviews found that staff shortages occur regularly and that daily logistics sheets at times list staff who are not present at the facility.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with Morad Sheikhhoro . Copy of this report and appeal rights provided.