Complaint Investigation Report

397005071-2-6-2024-27-AS-KHOS-D2EN2N-20240213090502

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

01/31/2024 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20240131163521

LPA Kesha Lewis made an unannounced visit to this facility today to open a complaint investigation for the allegation listed above. LPA met with facility staff and explained the purpose of today’s visit.

Allegations: Staff did not clean resident’s room. After reviewing R1'S room, speaking with RP and interviews with residents and staff regarding the allegation LPA Lewis finds the complaint to be unsubstantiated.

LPA toured R1'S room and there was not noticable smeels, room was vacumed and apeared clean. Therefore, this complaint is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted. copy of report given.