Complaint Investigation Report

455002932-10-13-2023-59-AS-LCRR-CYBLYM-20231208081035

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

08/18/2023 and conducted by Evaluator Sarah Benson

COMPLAINT CONTROL NUMBER: 59-AS-20230818115222

Staff do not ensure cleaning solutions are stored inaccessible to residents

Amended Report, on 10-13-23 Licensing Program Analyst LPA Sarah Benson met with Heather Newcom.

On 08/24/2023 Licensing Program Analyst (LPA) Sarah Benson, arrived at the facility unannounced to conduct a complaint investigation for the above allegations. LPA met with Administrator Lisa Sapp and explained the purpose of the visit.

LPA and Administrator inspected the facility and LPA interviewed Administrator Lisa Sapp during the visit.

During the inspection a five-gallon bucket of dry laundry soap was found in assisted living laundry room, assessable to residents in care.

Administrator states with low census and current high functioning residents in care, this poses no immediate risk to the health and safety of residents in care.

Based on investigation, observations and interviews, the preponderance of evidence standard has not been met, therefore the above allegation is found to be Unsubstantiated. Exit interview conducted and a copy of the report was provided to administrator Liss Sapp.