315002984-6-25-2026-59-AS-LMUZ-DVXNRZ-20260713104219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315002984
Report Date: 06/25/2026
Date Signed: 06/25/2026 03:54:57 PM

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
03/12/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260312122400

FACILITY NAME:	GRANITE MEADOW HOME		FACILITY NUMBER:	315002984
ADMINISTRATOR:	JUDEE CASTRO		FACILITY TYPE:	734
ADDRESS:	3115 GRANITE MEADOWS LN		TELEPHONE:	(650) 580-3896
CITY:	GRANITE BAY	STATE: CA	ZIP CODE:	95746
CAPACITY:	5	CENSUS: 5	DATE:	06/25/2026
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Judee Castro, Administrator		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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-Staff did not follow resident's doctor's orders.
-Staff handles residents in a rough manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrator, Judee Castro, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation.

*******************************************Continued on LIC9099-C******************************************************

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026

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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Control Number 59-AS-20260312122400

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: GRANITE MEADOW HOME	FACILITY NUMBER: 315002984
	VISIT DATE: 06/25/2026

NARRATIVE

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On February 5, 2026, residents (R1, R2, and R3) were taken on an outing to the Cheesecake Factory and were accompanied by staff (S4, S5, and S6). Interviews with S4 and S5 indicated that R1 was served mashed potatoes. Interviews indicated that S5 was assisting R1 with their mealtime ensuring that any chunky bits of potatoes were removed and that the potatoes were mashed again prior to R1 eating. Interviews indicated that R1 experienced a brief coughing episode. However, R1 was not choking and there were no signs of respiratory distress observed following. R1's physician's orders indicated that they are to eat a pureed diet, which S4 and S5 indicated they were following on the outing. Upon return from the outing, a nurse on duty at the care home assessed R1. According to R1's Nurses Notes, R1's lungs sounded clear and there were no signs or symptoms of aspiration noted. Notes indicated that respirations were even and unlabored, vital signs were within normal limits, and no concerns were noted. R1 was not sent to the hospital following the outing and was sent to the hospital for a separate health condition on February 21, 2026.

Interviews with staff (S1, S2, and S3), S4, and S5 indicated that they have never witnessed staff handling residents in a rough manner. Interviews also indicated that staff handle residents carefully. Interviews with R1's responsible parties indicated that they have never witnessed staff handling residents roughly. They indicated that they visit the facility weekly and that the facility staff provide outstanding care. Interview with resident (R2) indicated that they are doing good, staff treat them well, and all their care needs are being met.

Based on documentation obtained and interviews conducted, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026

LIC9099 (FAS) - (06/04)

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