Complaint Investigation Report

525002212-11-18-2024-59-AS-KHOS-DBCL35-20241125072322

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

11/12/2024 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20241112113457

Resident is being locked in her room -UNSUBSTANTIATED

11/18/2024 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with care staff Margaret Waldron. Licensee Babe Mason is home recovering from an unexpected medical procedure and was unable to attend the meeting. The purpose of this visit was to conduct a complaint investigation.

LPA toured the facility and inspected the keyed lock on Client 1's (C1) door. LPA observed that the lock can be locked and opened by a key from the outside or locked by a button from the inside and opened from the inside by turning the handle. It would not be possible for C1 to have been locked inside of their room. This allegation is unsubstantiated.

No deficiencies cited. Exit interview conducted and a copy of the report was provided to care staff Margaret Waldron.