Complaint Investigation Report

392700306-11-15-2023-27-AS-LKIG-CYNUZ5-20231219150056

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO AC/SC , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/27/2023 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20231027153218

Staff are illegally evicting resident from the facility.

Licensing Program Analyst (LPA) Kesha Lewis arrived at the facility unannounced to deliver findings for a complaint for the above allegations. LPA was greeted by Administrator and explained the reason for the visit.

Allegation 1 Staff are illegally evicting resident from the facility is SUBSTANTIATED. Based on LPA interviews with S1 and R1, LPA found the allegation was true, R1'S responsible party was not notified of the 30 day notice to evict. The Department has investigated the complaint listed above and based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be SUBSTANTIATED. As a result, the preponderance of evidence standard for this allegation is met, therefore, this allegation is SUBSTANTIATED.

Deficiencies cited see 9099D page per California Code Regulation, TITLE 22.

Exit interview was conducted and a copy of the report and appeal rights given.