Senior Care Records.

Complaint Investigation Report

Tarina of Stockton, Stockton10/31/2024Licence 392700997

Date signed10/31/2024 03:02:15 PM
The inspector’s account

392700997-10-31-2024-27-AS-LRIS-DDCQDT-20250128110514

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

10/30/2024 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20241030111610

Facility does not ensure the heater is in good repair

On 10/31/2024, LPA Johnson arrived unannounced to investigate the above allegation.

Based on interviews with staff on 10/31/2024, the facility is having issues with the (HVAC) heater. The parts to replace the heater have been received and the facility is actively working on fixing the heater. The facility has advised the residents of this matter and has offered to supply additional blankets and throws to comfort the residents while the heater is being repaired.

The allegation is substantiated meaning that there was a preponderance of evidence to prove that the allegation occurred as alleged.

An exit interview was conducted, a copy of the LIC9099, 9099-D, and appeals rights was provided to the Facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction