Complaint Investigation Report

455002976-3-28-2023-59-AS-KHOS-CSQP9B-20230612110650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 2525 NATOMAS PARK DR STE 270

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

03/23/2023 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20230323083532

Door knobs covered to prevent residents from going out.

LPAs Hiratsuka and Avila, conducted this complaint visit. LPAs wore a surgical mask and observed all staff wearing masks.

LPAs toured the facility and observed one doorknob that was covered. The cover for the doorknob is one that covers it and to open the doorknob there were a couple of places for the fingers to press that created pressure between the cover and the doorknob and the doorknob could open. The doorknob that was covered is a desigated exit. Because it is a designated exit an immediate $500.00 civil penalty was issued. It was removed during visit.

Based on the above, the allegation is substantiated.

Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Failure to correct shall result in civil penalties. appeal rights left