Complaint Investigation Report

392700410-3-13-2024-27-AS-KHOS-D3JL9G-20240320083329

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

10/10/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20231010133049

Staff closed the door on resident hand and arm.

Staff refused to let resident back inside the facility.

Licensing Program Analyst, LPA Kesha Lewis arrived unannounced to deliver findings for the above allegations. LPA spoke with Licensee/Administrator Concepcion Soares regarding the pourpse of the visit.

Allegations: Staff closed the door on resident hand and arm and Staff refused to let resident back inside the facility are UNSUBSTANTIATED.

Althought R1 did have visible brusies on their person interviews with staff and all residents could not comfirm the insident occored therefore, this complaint is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted. Copy of report given.