Complaint Investigation Report

502701087-12-19-2024-27-AS-LRIS-DCCS27-20241227122904

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

12/06/2024 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20241206152840

On 12/19/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to continue a complaint investigation in to the above listed allegstions. LPA Jensen met with care provider Sandra Williams and explained the purpose of today's visit. Maria Araiza arrived on the scene shortly after.

LPA Jensen inspected the food supply and observed 2 days worth of perishable food and 7 days worth of non-perishable food. The non-perishable food consisted of a limited nnumber of canned goods and dry food plus a 30 day supply of emergency food for 1 person. Based on LPA Jensen's observation of the food supply on 2 seperate occassions the allegation of "lack of adquate food service" is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it. The posted menu for this day states that chicken fajita tacos will be served for dinner but the facility lacks the ingredients to make what's on the menu. Technical assistance was provided.

An exit itervew was conducted and a copy of this report was provided.