342700333-9-10-2026-59-AS-LMUZ-DY7P3X-20260923105817

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700333
Report Date: 09/10/2026
Date Signed: 09/10/2026 02:21:02 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
08/17/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260817130533

FACILITY NAME:	FAIR OAKS ESTATES INC		FACILITY NUMBER:	342700333
ADMINISTRATOR:	SAROAY, PARVEEN		FACILITY TYPE:	740
ADDRESS:	8845 FAIR OAKS BLVD		TELEPHONE:	(916) 944-2077
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	121	CENSUS: 115	DATE:	09/10/2026
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Parveen Saroay, Executive Director		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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-Uncleared adults are supervising residents
-Licensee does not ensure records are complete
-Licensee does not ensure staff are properly trained
-Facility is not sufficiently staffed to meet the needs of residents in care
-Staff are unable to clearly communicate with residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Parveen Saroay, 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.
The investigation is regarding concerns with staff (S1) not receiving criminal record clearance prior to receiving training at the care home. S1 received criminal record clearance and association to the facility on August 1, 2026. S1 began their initial training on August 12, 2026, which was completed on August 19, 2026. LPA reviewed S1’s employee file, which included all required initial training, criminal record clearance, 1st aid/CPR certificate, health screening and TB test. S1 completed their TB test reading on August 6, 2026 and their health screening on August 13, 2026 clearing S1 to begin working at the care home. S1 began providing care to residents on August 20, 2026.
**********************************************Continued on LIC9099-C*************************************************

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

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-20260817130533

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: 09/10/2026

NARRATIVE

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According to staff schedules and interview with the ED, the facility staffs four (4) managers Monday-Friday and one (1) manager on weekends. There are ten (10) caregivers scheduled during the AM and PM shifts in which six (6) staff provide care in assisted living and four (4) in memory care. During both AM and PM shifts there are two (2) med techs on duty. The NOC shift has three (3) caregivers on duty and one (1) med tech that will also provide caregiving assistance. The facility currently has 24 residents receiving hospice care and a hospice waiver approved for 25 residents. In order to ensure staff are sufficient in numbers to provide appropriate care, supervision, and services to meet the residents’ individual needs, the facility will maintain their current work schedule. If there are changes in residents’ levels of care, they will adjust their staff schedule accordingly. The facility is a participant of the Assisted Living Waiver Program (ALWP), which provides a Rehabilitation Program for residents with behaviors. The facility provides small groups of residents, that would typically not be able to participate in activities, to be able to participate with increased supervision. The program also includes activities of daily living (ADLs), dining assistance, housekeeping, snacks and hydration, and laundry. The program is regulated by California Department of Health Care Services (DHCS) to ensure compliance. DHCS conducted an audit on August 20, 2026 which included, but was not limited to, facility inspection, call light response time testing, staff and resident file reviews, staffing schedule review, medication review, etc. The audit letter dated August 25, 2026 indicated that the facility was found to be compliant with the statutory assurances under the ALWP. Interviews with residents (R1, R2, R3, R4, and R5) indicated that staff treat them well and all of their care needs are being met.

Interview with ED indicated that any resident related concerns are documented in the facilities High Risk Report. LPA reviewed the High Risk Report, which indicated care conferences, follow-ups with the hospital, changes in residents’ conditions, etc. The facility will indicate when a follow-up was completed as well.

Interviews with R1, R2, R3, and R4 indicated that they are able to communicate their needs to care staff. R5 indicated that, although there may be somewhat of a language barrier with some staff, the staff are able to understand their needs. R1, R2, R3, R4, and R5 had no concerns regarding the facility or the care and supervision being provided.

Based on interviews conducted and documentation obtained, 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: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

LIC9099 (FAS) - (06/04)

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