Complaint Investigation Report

392700475-10-2-2025-27-AS-LRIS-DP2R3T-20251204114027

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

08/25/2025 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20250825154337

Facility staff are billing for services not rendered.

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

Based on records reviewed and interviews with the facility staff, the facility did not reassess R1 before requiring R1 to stop self administration of their medication and requiring R1 to receive medication assistance for antibiotics and other existing medications. R1 was discharged on 8/3/2025 and returned to the facility with new orders. The facility did not receive information in the discharge papers that would have changed the doctor's support of R1 taking and/or controlling their medication. The facility followed the wishes of a family member; this family member had Power of Attorney over financial not medical and therefore did not have the right to change or request to change the way medications are given or not given. SUBSTANTIATED

California Code of regulations, Title 22 are being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report was given