032701486-7-30-2025-27-AS-SRIN-DKRNW9-20250821104909

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 032701486
Report Date: 07/30/2025
Date Signed: 07/30/2025 02:05:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2025 and conducted by Evaluator Arvin Villanueva

COMPLAINT CONTROL NUMBER: 27-AS-20250508123135

FACILITY NAME:	LIVEWELL CARE HOME LLC		FACILITY NUMBER:	032701486
ADMINISTRATOR:	KAREN ORR		FACILITY TYPE:	735
ADDRESS:	290 GOLD STRIKE CT		TELEPHONE:	(302) 893-3498
CITY:	SUTTER CREEK	STATE: CA	ZIP CODE:	95685
CAPACITY:	4	CENSUS: 4	DATE:	07/30/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jonathan Li		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Vehicle used to transport clients was not maintained in a safe operating condition.
Staff did not provide proper food service to clients in care.

INVESTIGATION FINDINGS:

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On 7/30/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived unannounced to conduct a follow-up complaint visit and to deliver findings regarding the allegations noted above. LPA met with Licensee/Administrator, Jonathan Li and stated the purpose of the visit.

The investigation into the allegation that vehicle used to transport clients was not maintained in a safe operating condition consisted of interviews and record reviews.

During interviews, staff and clients shared concerns about the old van, including problems with the doors, steering, shaking while driving, and electrical issues. Through interview, staff member had to use their own personal vehicle and later requested a rental, which was eventually provided. Clients in care also described the van as shaking or rattling, and said they felt unsafe riding in it.

{con't to 9099-C}

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250508123135

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LIVEWELL CARE HOME LLC	FACILITY NUMBER: 032701486
	VISIT DATE: 07/30/2025

NARRATIVE

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Contradictory, records showed, on April 3, 2025, the van showed a check engine light. The next day, April 4, 2025, it was taken to the repair shop and a rental car was provided that same day for client transportation. The van was repaired for a coolant leak and returned on April 16. When a staff reported a bad smell during the drive home, Jon followed up with the service shop and was told it was normal after some repairs. When another issue was reported on April 26, 2025, a second rental was secured the next day. Jon personally tested the van on April 29, 2025 and did not observe any issues. Still, a new van was purchased and delivered by May 2, 2025. Throughout this time, transportation for clients was always available through rentals or staff vehicles.
Records such as service invoices, car rental receipts, and text messages between staff and Jon showed that Jon responded to issues and did not ignore safety concerns. Although some delays were reported by staff and clients, the documentation contradicts and do not fully support the allegation.
Therefore, based on the evidence, the allegation that the vehicle was not maintained in a safe condition is UNSUBSTANTIATED.

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The investigation into the allegation that staff did not provide proper food service to clients in care interviews with clients, staff testimony, and a review of staff.
Through interviews, clients in care reported concerns about former staff member (S2)’s cooking, including serving burnt bacon and toast without butter or jam, and reheating meat improperly. However, the statements were inconsistent and there was no clear confirmation that improper food was repeatedly served. Two clients mentioned that S2 served bacon that had been burnt while microwaving, but another client stated they did not eat the bacon and was unsure whether it had been served to others. Staff S1 confirmed that S2 had once burned a plate while cooking bacon but could not confirm what was served to the clients since S1 was not present. While the facility's staff training records reviewed for S2 did not show any documented food service or nutrition-related training, there is no preponderance of evidence that the overall food service provided to clients consistently failed to meet basic standards or placed clients at risk. The concerns raised appear to be isolated to one former staff member, and there is insufficient evidence to support a pattern of improper food service. Therefore, the allegation is UNSUBSTANTIATED.

A finding of unsubstantiated means that although the allegation may have happened the preponderance of evidence does not prove it.

An exit interview was conducted and a copy of this report and appeal rights were provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

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