Complaint Investigation Report

390313873-3-3-2023-27-AS-LKIG-CQ6UNJ-20230322154402

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/06/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20230206135639

Licensing Program Analysts (LPA) Kesha Lewis conducted an unannounced complaint visit on 03-03-23 and was met by staff to discuss the findings of the complaint. Current census of the facility was 5

The purpose of this visit was to complete this complaint investigation and deliver the findings to this facility.

The complaint allegations listed above were investigated. Based on interviews and information gathered during the course of this investigation, it was determinded that the allagation is unsubstaantiated. The residents, facility staff and management and other witnesses were interviewed by LPA Lewis. The residents and all other individuals interviewed and didn't beliveve that the allegations occurred. Futher documutation in R1's file supported the finding.

An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.