Complaint Investigation Report

397005738-8-28-2024-27-AS-KHOS-DAQQA2-20241105105911

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

08/23/2024 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20240823100640

Staff allowed unfingerprinted boyfriend to come to facility while residents were there

On 8-28-24 at 2:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the complaint allegation noted above. LPA met with Administrator William Puckett and explained the purpose of the visit. During this investigation, LPA conducted interview with Administrator and reviewed incident report dated 5/29/24. Based on interview and record review, it was determined that on 5/28/24 at approximately 2:00am, facility Administrator and House Manager performed a random shift audit for the night shift and discovered that the NOC staff member (S1) had allowed an unauthorized person to enter the facility has her guest and utilize facility premises including sleeping on premises. Administrator contacted local police department for assistance resulting in the unauthrorized person's departure.

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 William Puckett and a copy of this report was provided to William. Appeal rights provided.