Complaint Investigation Report

585002583-9-11-2025-59-AS-TORZ-DLRP8V-20250922110611

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

06/17/2025 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20250617081048

Licensing Program Analyst LPA Hiratsuka conducted the investigation into the allegations above.

LPA Hiratsuka conducted interviews and reviewed resident file.

One person stated the Caregiver attempted to pull the resident from a vehicle and verbally threatened the resident. LPA attempted to interview the resident and the resident refused. Caregiver denied the allegation and stated she was trying to assist the resident from getting out a vehicle and when the resident refused Caregiver stated she walked way from the resident. Several interviews stated the resident is known to refuse to do things and has a history of refusing to get out of vehicles. Because the resident refused to speak to LPA, LPA cannot prove or disprove the allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.