312700574-9-2-2026-59-AS-LMUZ-DXTPKX-20260911112351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700574
Report Date: 09/02/2026
Date Signed: 09/02/2026 11:48:26 AM

Unsubstantiated

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
06/26/2026 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20260626130026

FACILITY NAME:	ANSEL PARK SENIOR LIVING COMMUNITY		FACILITY NUMBER:	312700574
ADMINISTRATOR:	PAYNE, KEITH		FACILITY TYPE:	740
ADDRESS:	1200 ORCHID DRIVE		TELEPHONE:	(916) 250-0770
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	100	CENSUS: 82	DATE:	09/02/2026
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Executive Director - Aileen Enriquez		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff refused to assist resident with bathing.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings.
LPA met with Executive Director - Aileen Enriquez during today's inspection.

The Department conducted interviews and reviewed facility records and conducted interviews with residents and staff. Residents interviewed stated that staff were assisting with their showers as required. Staff interviewed stated that residents’ care needs, including showers, are met. Regarding shower assistance with R1, R1 stated that staff did not assist them with their shower for almost 2 weeks in JUNE 2026 as facility was having GI outbreak. Interviews and records show that the facility reimbursed R1 $300 out for $600 for care services. Based on that information, this allegation was Unsubstantiated. Based on documentation and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited.

Exit interview conducted. A copy of the report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026

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 3

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
06/26/2026 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20260626130026

FACILITY NAME:	ANSEL PARK SENIOR LIVING COMMUNITY		FACILITY NUMBER:	312700574
ADMINISTRATOR:	PAYNE, KEITH		FACILITY TYPE:	740
ADDRESS:	1200 ORCHID DRIVE		TELEPHONE:	(916) 250-0770
CITY:	ROCKLIN	STATE:CA	ZIP CODE:	95765
CAPACITY:	100	CENSUS: 82	DATE:	09/02/2026
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Executive Director - Aileen Enriquez		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff are charging resident for services not provided.
Staff are not following safe food handling practices.

INVESTIGATION FINDINGS:

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Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026

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

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 59-AS-20260626130026

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: ANSEL PARK SENIOR LIVING COMMUNITY	FACILITY NUMBER: 312700574
	VISIT DATE: 09/02/2026

NARRATIVE

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**Report continued .....

Allegation- Staff are charging resident for services not provided. UNFOUNDED

The Department conducted interviews and reviewed facility records and conducted interviews with residents and staff. Staff and residents’ interviews conducted indicated residents’ needs are met as needed. Record review indicated that facility reimbursed $300 out of $600 for June 2026 for care services for residents, R1 as R1 did not receive shower assistance for 2 weeks. LPA confirmed that information with R1. Interview with R1 did not indicate any other concerns. Based on that information, this allegation is UNFOUNDED.

Allegation- Staff are not following safe food handling practices. UNFOUNDED

Based on facility tours, record review, staff and residents interviews, that dietary staff have their food handlers’ certificate and staff know how to handle and serve food. Staff interviews indicated that they were aware of infection control guidelines. Residents’ interviews did not reflect any concerns with facility's food service. Facility tour indicated that staff were following infection control guidelines for food handling per Department guidelines. Based on this information, the above allegations are UNFOUNDED.

Based on the information obtained, these allegations are UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview was conducted and a copy of this report was provided.
Signature on these forms acknowledges receipt of these documents.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026

LIC9099 (FAS) - (06/04)

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