Complaint Investigation Report

581302894-4-14-2026-59-AS-TORZ-DTYQDX-20260511120525

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

04/06/2026 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20260406162132

Licensee didn't report relationship to responsible party

Licensing Program Analyst (LPA) Hiratsuka, conducted the investigation into the allegation above.

The allegation had to do with an alleged inappropriate relationship between a staff and a resident which LPA went unfounded on the allegation. LPA interviewed staff and residents. The Administrator made a comment to someone that appeared they might have thought something but didn't look into it. LPA spoke to Administrator who stated they deny the relationship occurred. LPA cannot prove or disprove the administrator didn't know about the alleged allegation to report it.

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.