Complaint Investigation Report

397003771-5-13-2025-27-AS-KHOS-DHRJ2Q-20250618064018

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

02/13/2025 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20250213113306

Staff are mismanaging residents medication

Staff are not preventing resident from enagaging in inappropriate behaviors

On 05/13/2025, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to deliver findings for the above allegations. LPA met with Executive Director Nicole Bacon and explained the purpose of today's visit.

Based on record reviews and interviews, it is determined that there is not a preponderance of evidence to conclude that the staff mismanaged resident’s medication or that Staff are not preventing resident from engaging in inappropriate behaviors. Both the doctor’s directives and the client’s requests were followed as required. Staff had appropriate training in deescalating behaviors. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the facility.

An exit interview was conducted, and a copy of this report was given.