Complaint Investigation Report

397001983-1-15-2025-27-AS-KHOS-DD5QH4-20250121111031

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

09/30/2024 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20240930160534

On 01-10-2025, Licensing Program Analysts (LPA) Kesha Lewis conducted an unannounced facility visit to finish the complaint investigation with the above allegation. LPA Lewis met with MaryBarroz and adminstrator Joan Talaroc joined about 30 minutes later LPA explained the purpose of today's visit.

During today's visit, LPA Lewis conducted interviews with staff. Throughout the course of this investigation, the Department conducted interviews and reviewed facility files. Based on the investigation, there was no indication the the facility was not following the prescribed diet staff knew where food items were and could explain to LPA how they were given to R1. Based on interviews, and records it was determined there is not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation is unsubstantiated.

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