Complaint Investigation Report

392700640-10-21-2025-27-AS-LRIS-DP2R69-20251204114421

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

08/21/2025 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20250821110444

Staff not providing authorize representative with resident’s medical file.

LPA Johnson made an unannounced visit to deliver findings for the allegation listed. LPA met with Resident Care Coordinator.

Based on records reviewed the facility provided the responsible party (RP) with the requested information on 8/25/2025. The facility's legal counsel sent a letter to the RP and confirmed in the letter to the family dated 9/4/2025 that the facility had met the request to have the completed records copied and available. The RP confirmed receipt the same day 8/25/2025.

The department has investigated the complaint allegation and determined that the complaint was UNFOUNDED, A finding of UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis.