Complaint Investigation Report

397004497-1-11-2023-27-AS-LKIG-CNCQWU-20230123113232

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/04/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230104085640

Facility staff did not seek residents hotel accommodations for an extended period of time after power outage.

Refer to Case Management on 01/03/2023 and 1/06/2023 for deficiencies. Based on information contained in the case management listed above this allegation is SUBSTANTIATED.

Based on LPA Johnson's observation of residents on 01/03/2023. The allegation has been determined to be SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met.

Deficiencies were cited in case management done on 01/06/2023. Failure to correct deficiencies may result in the issuance of civil penalties.

An exit interview was conducted and a copy of this report and appeal rights was left at facility.