Complaint Investigation Report
502700861-3-13-2024-27-AS-LRIS-D4PMMF-20240426094353
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
11/29/2023 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20231129144221
On 03/13/2024, at approxiimately 2:15 pm Licensing Program Analyst (LPA) Renee Campbell conducted an unannounced complaint visit. LPA Campbell met with Damaris Sanchez, Administrator and explained the purpose of todays visit.
Over the course of the investigation, interviews were conducted that included facility staff, day program staff, residents and family. LPA Campbell also reviewed hosptial records for R1 and staffing schedules. LPA Campbell visited the facility several times and interviewed R1 twice. Based on the interviews conducted, documents reviewed and observations made, the allegation of "Facility failed to keep resident safe" was found to be unsubstantiated.
Complaint allegation findings of UNSUBSTANTIATED mean although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
No deficiencies issued per Title 22 regulations
Exit Interview. Copy of report provided to facility representative.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction