Complaint Investigation Report

392701388-7-16-2026-27-AS-LKIG-DW6U5S-20260720151713

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

03/27/2026 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20260327112911

Staff are not providing supervision of residents.

Facility is not safeguarding residents’ personal property.

Facility is not providing hygiene care for resident.

On 07/16/2026 LPA Lewis arrived at facility unannounced to deliver findings on the above allegations. LPA explained the reason for the visit to staff.

The department investagated the above allegations and based on the information gathared through interviews and records review, the allegations are UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with resident service specalist, and a copy of this report and LIC 811 provided.