Complaint Investigation Report

397005073-2-6-2026-27-AS-LKIG-DRWNUQ-20260306094644

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

01/21/2026 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20260121111046

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to continue the complaint investigation. LPA Lewis met with facility staff Susan Carolino and explained the purpose of the visit.

LPA interviewed R1 and S1 during a previous visit. Based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be 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.

There are no deficiencies cited per California Code of Regulations, TITLE 22.

An exit interview was held, and a copy of this report was left Susan Carolino.