Complaint Investigation Report
392700908-5-26-2026-27-AS-LRIS-DV7PX3-20260619114139
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
05/22/2026 and conducted by Evaluator Albert Johnson
COMPLAINT CONTROL NUMBER: 27-AS-20260522125335
Licensee did not follow proper eviction protocols with resident in care.
On 05/26/2026, Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to open the complaint for this facility.
Based on the information obtained, the allegation that the facility engaged in unsafe discharge practices, failed to coordinate continuity of care, and refused to accept R1 back into the facility is substantiated.
The preponderance of evidence supports that the facility failed to follow required discharge and eviction procedures, failed to coordinate continuity of care, and refused to accept R1 back into the facility following ED evaluation. Therefore, the allegation is substantiated. A deficiency will be cited on the LIC 9099D page.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction