Complaint Investigation Report

507203017-12-6-2023-27-AS-LRIS-CYRT3R-20231222132245

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

09/14/2023 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 27-AS-20230914113331

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegation. LPA Lund met with Administrator Assistant Lionel Bazan and explained the reason for the visit.

Facility has bed bugs - LPA Lund reviewed facility records and interviewed Staff. On 4/8/2023 Allpro Pest Services report states that they treated rooms 107, 108, 109, 110, 111, 112, and 113 for bed bugs. On 9/11/2023 Allpro Pest Services report states that they treated rooms 213, 214, 215, and 216 for bed bugs.

Based on facility records and interviews with staff the information provided, it is clear that facility has bed bugs therefore the allegation was deemed SUBSTANTIATED.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit.

An exit interview was conducted, and copies of the report and appeal rights left.