Complaint Investigation Report

397005660-4-11-2025-27-AS-LKIG-DFRQE8-20250415120553

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

04/01/2025 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20250401151432

Facility staff did not properly supervise client resulting in elopement

On 04/11/25, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to open a complaint investagation for the allegation. LPA met with staff explained the purpose of the visit.

LPA reviewed R1'S file including Physions report interviewed S1 LPA also recieved premmision from adminstraitor TANYA SLOAN for staff to sign for report. Based on interviews with staff and records reviewed R1 is able to leave the facility unassisted and enter the community as they want. The allegation of Facility staff did not properly supervise client resulting in elopement is UNSUBSTANTIATED.

The complaint is determined to be UNSUBSTANTIATED. As a result, there is not a preponderance of evidence standard for this allegation.