Complaint Investigation Report

392700475-9-25-2024-27-AS-LRIS-D9GPYH-20240926114354

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

06/20/2024 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20240620163357

Facility staff are not properly cleaning facility kitchen

Based on observation on 6/21/2024, 8/22/2024, and records reviewed the facility is not in compliance with the regulatory requirement to maintain a clean and sanitary kitchen with storage of food, expired food, unlabeled food, bread storage area not clean and open containers observed.

Based on staffing for the kitchen the facility is required to have consultation services for food services. The facility is out of compliance with this requirement. The last quarterly visit was on 8/30/2023, during the visit on 8/30/2023 the consultant identified several action items, including repeat problems and sanitation hazardous.

The facility is actively looking for a Dietitians to conduct the quarterly visits to assist the facility in coming back into compliance with this requirement.