Complaint Investigation Report

392701177-10-7-2025-27-AS-LKIG-DMHV5L-20251016160806

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

08/25/2025 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20250825125702

Staff did not safeguard client's confidential information

On 10-7-2025 at 10:15am, Licensing Program Analysts (LPAs) Michael Bilger and Sommer Hayes arrived unannounced to deliver findings for the allegation noted above. LPA met with Administrator Danica Morrison and explained the purpose of the visit. During this investigation, LPA conducted an interview with one staff member and reviewed the facility’s internal investigation regarding the allegation noted above.

Allegation: Staff did not safeguard client’s confidential information. Based on interview and record review it was determined that on or about 7-14-2025 a resident’s daily summary was sent to the family of a different resident. The internal investigation identified staff member who sent this information in error which allowed unauthorized access. Additionally, it was revealed that on or about 10-1-2025 medical information regarding a resident was erroneously sent to a family member of another resident. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights and LIC 811 provided.