Complaint Investigation Report

500305863-1-16-2024-27-AS-LRIS-CZQN7T-20240122091313

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

10/31/2023 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20231031120640

On 11/15/23, Licensing Program Analyst Renee Campbell arrived to the facility to deliver findings regarding a complaint. LPA Campbell was met by Paul Hardin, Administrator and Georgia Wilcomb, Licensee and explained the purpose of the visit.

Based on observation during the tour of the facility LPA observed bedbugs in the room of R2. The licensee states they are using Terminex to rid the facility inside and out of pest, however, the facility is still active with bedbugs.

Based on observation and interviews conducted the preponderance of evidence standards has been met, therefore, the above allegation(s) is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited on the attached 9099D during this visit. Exit interview held, Appeal Rights discussed, Copy of report given.