312700574-6-23-2026-59-AS-TORZ-DVJUD3-20260630152853

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700574
Report Date: 06/23/2026
Date Signed: 06/23/2026 04:06:56 PM

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
04/10/2026 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20260410110400

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: 85	DATE:	06/23/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Executive Director - Aileen Enriquez		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff did not provide a safe environment for resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Graham Gunby arrived on 06/23/2026 to deliver findings to a complaint the department received on 04/10/2026. LPA met with ED, Aileen Enriquez and explained the purpose of this visit.
The department conducted staff and residents' interviews, reviewed records to investigate the allegation. Through interviews with staff, it was stated R1 did not have unwanted visitors when residing at the facility. R1’s medical assessment (LIC602) which the facility provided, stated R1 is diagnosed with bipolar disorder and resided in memory care. Entry into the memory care unit requires a sign in and escort to the residents. Interviews with staff indicated R1 was typically in good spirits, but would have behaviors consist with sundowning. R1 explained that a fungus had appeared on their skin while at the facility. The facility provided prescription orders for a topical cream to be applied to the area. Through MAR review, there is no evidence that staff fail to properly administer resident's medications. Medications appear to be given as prescribed. This agency has investigated the complaint alleging staff did not provide a safe environment. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview was conducted and copy of the report has been provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026

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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