Complaint Investigation Report

397005730-2-11-2026-27-AS-LKIG-DRWNTV-20260306094521

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

02/06/2026 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20260206150426

Client funds and cash handling records are not maintained at the facility

On 2-11-2026 at 2:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the allegation noted above. LPA met with Administrator Ernesto Patacsil, Jr via phone and explained the purpose of the visit. LPA conducted a brief interview with Administrator and conducted additional interview with one resident in care and staff2 (S2).Additionally LPA conducted a facility observation. LPA requested copies of LIC 405s and resident personal and incidental funds. Based on interviews conducted it was revealed that LIC 405s and resident 's personal and incidental (P&I) funds are not currently kept at facility per regulatory requirements. Upon LPA's arrival and request for the above documents, it was revealed through interview that documents were not available for review and kept off facility premises.

As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with staff2 (S2) with Administrator's approval, and a copy of this report was provided. Appeal rights and LIC 811 provided.