Complaint Investigation Report

392700306-1-23-2025-27-AS-LRIS-DE3TXN-20250220140726

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

12/30/2024 and conducted by Evaluator Kesha Lewis

COMPLAINT CONTROL NUMBER: 27-AS-20241230131015

Staff did not provide adequate assistance to resident in care

Staff spoke inappropriately resident in care

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

Based on the information gathered, through interviews with Staff and residents,the allegations Staff did not provide adequate assistance to resident in care and Staff spoke inappropriately resident in care are SUBSTANTIATED.

Based on dinterviews with staff and residents is was learned that staff will respond to turn the call lights off but not assist the residents with therie needs. S1 was also terminated from the facility because they were speaking to residents in an inapproate manner. Based on observation and interview, the preponderance of evidence standard is met, and these allegations are SUBSTANTIATED.

Citations are issued as indicated on LIC 9099D. An exit interview was conducted Appeal rights provided.