Complaint Investigation Report

392700899-10-21-2022-27-AS-LKIG-CKEUQB-20221021154651

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/22/2022 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20220922142527

LPA'S Kesha Lewis and Albert Johnson made an unannounced visit to deliver complaint findings for the allegation listed above. LPA'S interviewed Staff and Clients. As a result of the interviews and facilities visits, LPA'S learned that the resident was able to secure PACE support services and based on this additional help no eviction was made. R1 was never removed from the facility. An eviction letter was given to resident but was not approved by the department. As a result of the PACE support the eviction letter was rescinded.

As a result of this investigation, Investigator finds allegation to be (U) Unfounded - A finding that the complaint is Unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted with Administrator/licensee and a copy of this report was provided to the licensee.