Complaint Investigation Report

455002486-10-13-2025-59-AS-TORZ-DMMSTH-20251020140936

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

10/10/2025 and conducted by Evaluator Ivan Avila

COMPLAINT CONTROL NUMBER: 59-AS-20251010142057

On October 13, 2025, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Jessica Kopps and explained the reason for the visit.

The complaint was not directed at this facility. The resident does not live at the facility. Resident lives in a skilled nursing facility that is not licensed through the Department.

This agency has investigated the complaint alleging: Staff are not providing proper catheter assistance to client, Staff are not providing showers to client in need. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.