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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 092700840
Report Date: 09/10/2026
Date Signed: 09/10/2026 11:59:40 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
07/15/2026 and conducted by Evaluator Lavinia Muscan
COMPLAINT CONTROL NUMBER: 59-AS-20260715080555
FACILITY NAME:VILLAGE OAKS SENIOR CARE, LLCFACILITY NUMBER:
092700840
ADMINISTRATOR:FOULK, BENJAMIN L.FACILITY TYPE:
740
ADDRESS:1011 ST. ANDREWS DRIVETELEPHONE:
(916) 293-1981
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:15CENSUS: 9DATE:
09/10/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Administrator Serge EntonaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff handled a resident roughly.
Staff does not provide adequate food service to residents.
INVESTIGATION FINDINGS:
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On 9/10/2026, Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Serge Entona.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

**Report continued on 9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 59-AS-20260715080555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: VILLAGE OAKS SENIOR CARE, LLC
FACILITY NUMBER: 092700840
VISIT DATE: 09/10/2026
NARRATIVE
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Staff handled a resident roughly.
Based on interviews, record review, and observation, residents reported that staff treat residents with respect and are kind and caring toward residents. Resident interviews did not identify concerns regarding staff handling residents in a rough, inappropriate, or disrespectful manner. Observation of staff and resident interactions was consistent with the information provided during interviews, with staff interacting with residents in a respectful and appropriate manner. Therefore, the allegation that staff handled a resident roughly is UNFOUNDED.

Staff does not provide adequate food service to residents.
Based on interviews, record review, and observation, adequate food was available to residents. Observation of the facility's food service showed that sufficient food was available for residents. Resident interviews indicated that residents are provided meals and may request additional portions if desired. Residents did not report that they were denied adequate food or that insufficient food was being provided. The information obtained was consistent with the Title 22 requirement that food be provided in the quality and quantity necessary to meet residents' needs. Therefore, the allegation that staff do not provide adequate food service to residents is UNFOUNDED.

Exit interview conducted. Report left with facility.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2