Complaint Investigation Report

455002633-5-4-2026-59-AS-TORZ-DTRNUC-20260504104606

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

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

03/18/2026 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20260318132304

Facility did not issue refund to resident after TSO

The licensee was served a Temporary Suspension Order on March 17, 2026. All residents were moved out on March 17, 2026.

Based on the information obtained during the course of the investigation, the Department is unable to determine the validity of the allegations listed above. Therefore, the allegations above are

A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

A copy of this report is going to be mailed certified to the licensee.