Complaint Investigation Report

392700473-12-4-2024-27-AS-LRIS-DE3VHB-20250220152651

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

10/21/2024 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20241021161128

MANTECA RTRMT COM-HAPPY LVNG BY COGIR/COGIR MANTEC

Residents needs are not being met due to a lack of staff.

On 12-04-24, Licensing Program Analyst (LPA) kesha Lewis arrived unannounced to deliver findings for the allegations above. LPA met with interim administrator Davina Barker and explained the purpose of the visit.

Based on records reviewed and interviews with staff the above allegation is found to be unsubstantiated. Records show at least one (1) med tech and three (3) care staff each day on all shifts.

There is not sufficient evidence to prove with a preponderance that the above allegation is valid and therefore, the allegation is determined to be UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited.

An exit interview was conducted copy of report given. .