Complaint Investigation Report

392700352-9-27-2023-27-AS-KHOS-CWHRTS-20231011131849

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

08/02/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230802132102

No staff members were present at facility to answer facility's door for residents

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to deliver complaint findings for the above allegations. LPA was greeted by staff licensee joined about 20 minutes later LPA explained the reason for the visit.

Based on documents reviewed, videos the licensee showed LPA lewis and interviews with staff and licensee. the above allegation is SUbSTANTIATED A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. This poses a potential health, safety, and personal rights risk to residents in care.

California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099-D.

LPA exit review: 9099 , 9099-D and appeal rights given.