Complaint Investigation Report

397000817-4-15-2026-27-AS-LKIG-DTVKWF-20260508081548

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

01/09/2026 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20260109085711

Licensing Program Analysts (LPA'S) Kesha Lewis and Melina Oropeza arrived at the unannounced facility to deliver findings for the above allegation. LPA'S were greeted by Licensee and explained the reason for the visit.

Based on interviews with residents and LPA'S observations the above allegation Staff do not follow the food menu is UNSUBSTANTIATED. 3 out of 6 residents were interviewed and none had complaints regarding the food or menu. Over multiple visits LPA observed the facility refrigerator, and it was fully stocked with multiple kinds of protein, vegetables and other food as well as the pantry. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited.

An exit interview was held, and a copy of this report was given.