Complaint Investigation Report

392700752-7-23-2025-27-AS-LKIG-DK5VCD-20250801161858

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

06/23/2025 and conducted by Evaluator Noel Wolf Petersen

COMPLAINT CONTROL NUMBER: 27-AS-20250623144645

Staff did not provide resident with toothbrush/tooth paste as a form of punishment

On 7/23/25 at 8:00am Licensing Program Analyst(LPA) Noel Wolf Petersen met with staff Gerardo Varela and Administrator Alex Archangel at G.L.O.M. 6 and explained the purpose of the visit: to deliver findings of a complaint investigation.

It was alleged that Staff did not provide resident with toothbrush/tooth paste as a form of punishment. Interviews with staff member, managers, residents, yielded conflicting statements about the matter. No record of the incident was made in the shift notes. LPA observed a pattern of limiting access to personal items as a common practice in the facility, although not specifically hygiene products. Technical assistance was provided regarding Personal Rights of the Residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of the report was read and given to the administrator, no citations were issued per title 2. Appeal rights were provided.