Complaint Investigation Report

392700885-7-24-2023-27-AS-LKIG-CUCMHS-20230803093802

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

04/19/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230419085653

Staff do not ensure that food is stored in a safe and healthful manner

Staff do not assist residents with meeting medical needs

Staff did not prevent resident from being injured by another resident

Staff do not seek medical attention for residents in a timely manner

Licensing Program Analyst (LPA'S) Kesha Lewis and Maja Jenson arrived at the facility unannounced to deliver findings for a complaint for the above allegations. LPA's was greeted by staff and explained the reason for the visit

Allegation 1Staff do not ensure that food is stored in a safe and healthful manner, Allegation 2- Staff do not assist residents with meeting medical needs, alleagtion 3- Staff did not prevent resident from being injured by another resident and alleagation 4- Staff do not seek medical attention for residents in a timely manner iare UNSUBSTATIATED. Based on LPA observation and interviews of S1 and also R1-R2 LPA was not able to find the allegation did or did not occur. Due to the information gathered LPA finds allegation to be UNSUBSTATIATED. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was left