Complaint Investigation Report

397002232-7-14-2026-27-AS-LRIS-DWAUZQ-20260724160155

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

04/29/2026 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20260429141929

Facility staff do not keep facility clean

Facility staff do not allow a comfortable environment

Licensing Program Analysts (LPA) conducted an unannounced complaint investigation visit to deliver findings. LPA met with Licensee. LPA explained the purpose of the visit.

Based on interviews, observations, and records reviewed, the allegations that

Facility staff do not keep the facility clean, and Facility staff do not allow a comfortable environment are substantiated.

Administrator stated the facility “is cleaned regularly,” but acknowledged “there are days when stuff falls behind.” Administrator denied pest issues and stated toilet paper is “always stocked.” Administrator stated they “try to be available” to open the door but acknowledged “there may be delays.” Resident's acknowledged inconsistent cleaning. RP and resident reports described clutter and mess but they know where things are. Cleaning logs are not used. RP reported clutter, worn furniture, and inconsistent cleanliness contributing to discomfort.