Complaint Investigation Report

392700475-1-30-2026-27-AS-LRIS-DRMS45-20260225123209

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

10/30/2025 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20251030115830

Staff do not provided adequate food service

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

Allegation: Staff do not provided adequate food service. Based on records reviewed and observation on 10/09/25, 10/31/25, 11/14/25, and 12/15/25. LPA also reviewed facility’s menu. Based on record review, and observation, it was determined that facility is serving food consistent with published menu. Additionally, interviews conducted did not reveal corroborated statements of inadequate food service.

As a result, there is not a preponderance of evidence to conclude that staff are not providing adequate food service to residents, therefore, this allegation is UNSUBSTANTIATED.