Complaint Investigation Report
392700769-12-5-2024-27-AS-LRIS-DCPVCJ-20250107151912
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
08/06/2024 and conducted by Evaluator Albert Johnson
COMPLAINT CONTROL NUMBER: 27-AS-20240806134043
The facility is over-charging SSI Clients
Responsible party did not sign the Admissions Agreement
The facility is using residents' SSI / P&I funds for payment of basic services
On 12/05/24, LPA Johnson arrived unannounced to deliver finding for the above allegations. LPA met with Staff and was later joined by the Administrator.
Based on information received and interviews conducted the allegations have been retracted after additional information was discovered by all parties involved. The information provided allowed agencies clarification as it related to the allegations above. This does not mean that the allegations are unfounded, it implies that based on this investigation the allegations are unsubstantiated.
A finding of UNSUBSTANTIATED means that although the violations may have occurred as reported the preponderance of evidence standard was not met.
An exit interview was conducted and a copy of this report with appeal rights given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction