Complaint Investigation Report

392701118-8-29-2025-27-AS-LKIG-DLJSZD-20250915141859

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

08/27/2025 and conducted by Evaluator Liza King

COMPLAINT CONTROL NUMBER: 27-AS-20250827101235

Staff did not ensure expired/old food was disposed of

Staff did not ensure there was food of quantity to meet the needs of the residents

On this date, a meeting was conducted via Microsoft Teams to address observations made at the facility during a Valley Mountain Regional Center visit. Members present included Liza King, Licensing Program Manager, VMRC representatives Brian Bennett, Katina Richison, Elizabeth Toscano, Shannon Hernandez, Licensee Moses Walters SR, Tarloh Walters, Tanneh Koayen and Program Administrator Joseph Nimene.

During this discussion Administrator Tanneh Koayen acknowledged that fresh fruit and vegtables and other types of food were not of quantity or quality to meet the needs of the clients in care.

As a result of this investigation, this LPM finds the allegation to be SUBSTANTIATED-A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies were on 9099-D, per Title 22 Regulations, Division 6 and/or Health and Safety Code.

Exit interview was conducted, a copy of this report and appeal rights were emailed to Tanneh Koayen- please sign and return to Liza.King@dss.ca.gov