Complaint Investigation Report

515002765-4-24-2024-59-AS-TORZ-D52PF4-20240507111606

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

01/24/2024 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20240124122555

On 4/24/2024 LPA Tryon went to the facility to complete the complaint. LPA met with Assistant Administrator Ivy Garner LPA has spoken with residents, staff, reviewed documentation.

Regarding the allegation that staff are mistreating residents, LPA has interviewed staff involved with the incident mentioned in the complaint, spoke with residents involved and briefly with other residents.

At this time, there is no proof that the staff actually mistreated the residents involved. One resident did fall when staff tried to open the bedroom door, but it's not completely clear if staff pushed the door hard enough to push the resident; or if she just lost her balance and fell. Stories related by staff differ from story related by residents involved. LPA has spoken with other residents and they have not seen any staff mistreat other residents or themselves, and related that staff is helpful and respectful.

At this time, since stories differ from one witness to another, LPA is not able to say with certainty that staff in any way "mistreated" residents. Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred.