Complaint Investigation Report

392701573-6-5-2026-27-AS-LRIS-DV3US2-20260615154934

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

03/06/2026 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20260306091343

Rights were violated by staff in the home / Conduct inimical

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to deliver findings for the allegations listed above.

Based on records reviewed, three staff interviews, and three resident interviews, there is insufficient evidence to support the allegations that: Staff cursed at or bullied R1.

Staff violated R1’s personal rights by threatening to take his phone. Staff requested gas money from R1 during transportation. No documentation, witness statements, or corroborating evidence supported the allegations. Staff and residents consistently denied observing or participating in the alleged conduct. Records did not reflect any complaints, disciplinary actions, or incidents consistent with the allegations.

Therefore, the allegation is UNSUBSTANTIATED.