Complaint Investigation Report
397005071-12-5-2025-27-AS-LKIG-DP7TQK-20251209135603
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
07/11/2025 and conducted by Evaluator Kesha Lewis
COMPLAINT CONTROL NUMBER: 27-AS-20250711160959
Staff did not provide adequate supply of toiletries.
On 12/05/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to deliver findings about the above allegations. LPA identified herself upon arrival, stated the purpose of the visit.
Based on interviews with staff and residents and LPA'S observation of the facility. LPA could not find evidence that the above allegation happened. Therefore the allegations are UNSUBSTANTIATED. A finding that the complaint allegation 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 occurred.
An exit interview was conducted, and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction