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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340316065
Report Date: 02/03/2026
Date Signed: 02/03/2026 01:47:39 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
01/23/2026 and conducted by Evaluator Shakaricka Hughes
COMPLAINT CONTROL NUMBER: 27-AS-20260123113502
FACILITY NAME:POWER INN HOMEFACILITY NUMBER:
340316065
ADMINISTRATOR:MOLINAS, FELYFACILITY TYPE:
735
ADDRESS:7365 POWER INN ROADTELEPHONE:
(916) 381-8281
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:15CENSUS: 15DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
01:14 PM
MET WITH:Facility Administrator: Fely MolinasTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff does not provide hot water for residents to shower.
INVESTIGATION FINDINGS:
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On 2/3/2026 at 1:15 PM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with the faciility administrator Fely Molinas and explained the purpose of the visit. The purpose of this visit is to deliver complaint findings for the allegation above. The current census is 15.

Allegation: Staff does not provide hot water for residents to shower.
It was alleged that staff do not provide hot water for residents to shower. This investigation consisted of interviews and facility staff, and residents, and facility observation. On 01/28/2026 LPA conducted a visit to the facility. LPA spoke with 2 facility staff who stated they were unaware of any issues regarding hot water temperature in the second resident bathroom prior to the visit. Facility staff reported that they have service scheduled for the water temperature to be checked on 1/29/2026. Interview with 4 out of 7 residents stated that they have no concerns regarding hot water temperature and reported using both resident bathrooms without issue.
Continuation 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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 27-AS-20260123113502
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: POWER INN HOME
FACILITY NUMBER: 340316065
VISIT DATE: 02/03/2026
NARRATIVE
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 Additional interview with 3 residents, expressed concerns that the water temperature is consistently cold, however residents stated that facility staff were never notified of their concerns regarding hot water temperature inside resident bathrooms. LPA conducted observations of both residents bathrooms. Hot water temperature inside resident bathroom (1) measured 118.4 degrees F, while hot water temperature in resident bathroom (2) measuring 83.2 degrees F. On 2/3/2026, LPA conducted a follow-up visit to the facility and re-measured the hot water temperature in resident bathroom (2) which measured 107.2 degrees F. Based on interviews and observations, there was insufficient evidence to corroborate the allegation, therefore the allegation is unsubstantiated.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2