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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700333
Report Date: 09/09/2026
Date Signed: 09/09/2026 04:08:27 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
03/09/2026 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20260309110224
FACILITY NAME:FAIR OAKS ESTATES INCFACILITY NUMBER:
342700333
ADMINISTRATOR:SAROAY, PARVEENFACILITY TYPE:
740
ADDRESS:8845 FAIR OAKS BLVDTELEPHONE:
(916) 944-2077
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:121CENSUS: 115DATE:
09/09/2026
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Parveen Saroay, Executive DirectorTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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-Resident sustained unexplained fracture due to lack of care and supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director, Parveen Saroay, to deliver complaint investigation findings regarding the above stated allegation.

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

According to hospital records, resident (R1) was sent to the hospital on March 5, 2026 after facility staff observed swelling of their left knee. Hospital records indicated that R1 was treated for a fractured left femur. Interviews with staff that were on duty between March 4, 2026-March 5, 2026 indicated that there was no known cause for R1's injury, such as a fall. According to staff interviews and R1's progress notes, R1 had
previous falls on October 18, 2024 and January 15, 2026. Staff interviews also indicated that R1 had
sufficient fall risk prevention equipment in place prior to March 5, 2026, which included a floor mat near
*******************************************Continued on LIC9099-C*********************************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

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

DATE: 09/09/2026
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-20260309110224
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: FAIR OAKS ESTATES INC
FACILITY NUMBER: 342700333
VISIT DATE: 09/09/2026
NARRATIVE
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their bed, a bed alarm, and a wheelchair alarm. Staff interviews indicated that R1 was receiving all the necessary care and supervision and their care needs were being met. No evidence suggested neglectful practice leading to R1's injury or provided a clear cause of R1's injury.

Based on interviews conducted and documentation obtained, 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.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

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

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