342700333-5-13-2026-59-AS-LMUZ-DU8MUH-20260519095510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700333
Report Date: 05/13/2026
Date Signed: 05/13/2026 03:18:04 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
03/02/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260302150600

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: 102	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Parveen Saroay, Executive Director		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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-Staff did not ensure resident's room was free of pests
-Staff did not meet resident's laundry needs in a timely manner
-Staff did not ensure medication was not accessible to residents
-Staff did not ensure resident had a shower

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 allegations.

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

Allegation: Staff did not ensure resident's room was free of pests
According to the facility's High Risk Resident Report, on February 28, 2026, care staff reported that resident (R1) was found with a few bugs on their bed. Care staff checked R1's body and hair and did not observe any bugs. R1's room was sprayed. There were several notations between March 1, 2026-March 26,2026, indicating that R1's room was checked for bugs.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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-20260302150600

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: 05/13/2026

NARRATIVE

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The High Risk Resident Report indicated that, on March 3, 2026, Pest Control provided services at the care home, which included R1's room. There was a suitcase and bag found under R1's bed that had garbage and some belongings that were removed to spray. On March 4, 2026, notes indicated that the suitcase was returned to R1's room. Notes from March 6, 2026 and March 11, 2026 indicated that no bugs were observed in R1's room.

According to Pest Control Service Summary Report, dated March 3, 2026, services were provided in the care home including R1's room. R1 was in a shared room at the time of service. The summary report indicated that R1's room had a German roach follow up. Pest control replaced the glue boards in bathroom and near small dresser. There were dead roaches observed and exoskeletons of bedbugs discovered in a suitcase and clothing. Staff (S5) removed items from the room and spot treated. There were 2 live bed bugs found and killed in the items.

Interview with staff (S1) indicated that they did observe bugs on R1's bed, however, they were not sure of the type of bug. S1 did not observe any bugs on R1's clothing. Staff (S3) indicated that they did not observe any bugs in R1's clothing or linen when doing laundry. S3 indicated that there was a small bag from a suitcase under R1's bed that they observed bugs inside. S5 indicated that they did not observe any bugs on R1's side of the room and only on resident (R2's) side. S5 indicated that the room was treated immediately. S5 stated that S1 treated the room with a spray that was recommended by the pest control company.

The facility has a pest control contract that has been effective since August, 18, 2023 providing monthly and as needed treatments in the care home. The Pest Control Service Summary Report, dated April 7, 2026, indicated that pest control provided treatment in the care home including R1's room. The summary report indicated that there were no signs of bed bugs in R1's room.

During a separate complaint investigation related to pest control concerns in the care home concluded on November 21, 2025, LPA interviewed the Pest Control Technician (PCT) that provides services at the care home. PCT indicated services are provided monthly and as needed. PCT indicated that the realistic goal is to keep the pests contained when providing services/treatment. PCT indicated that there is a threshold that they follow when providing services.

Although there were insects observed, the facility is providing proactive pest control services monthly and as needed to ensure the facility does not become infested.
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SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20260302150600

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: 05/13/2026

NARRATIVE

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Allegation: Staff did not meet resident's laundry needs in a timely manner
According to the facility's High Risk Resident Report, on February 28, 2026, care staff reported that R1 was found with a few bugs on their bed. Care staff removed all linens and clothing from R1's room to be laundered. R1 received a shower and their room was sprayed. Staff provided R1 with additional clothing while their clothing was being washed and their bed remade with clean linens.

Interviews with S1, S3, S5, and staff (S2) indicated that all of R1’s linen and clothing were immediately removed from R1’s room to be laundered. S1, S2, and S3 indicated that R1 was provided clean clothing while their items were being washed. S1 indicated that some of R1’s clothing was cleaned and returned by the next day. S2 stated that R1’s clothing was changed everyday and washed. S3 stated that some of R1’s clothing was washed and returned back the same day. S4 indicated that they never witnessed R1 wearing the same clothing for multiple days. R1 stated that they put clean clothing on every time they shower.

Allegation: Staff did not ensure medication was not accessible to residents
On May 1, 2026, LPA observed the medication room with medication carts to be locked and medications to be inaccessible to residents in care. LPA observed medications for R1 and R2 and did not observe any medications that matched those in the images provided with the complaint. Interviews with S1, S2, and S3 indicated that they did not observe any medications in R1 and R2’s room. Interview with S4 indicated that R1 and R2 do not have any issues taking medications and are not known to refuse, pocket, or spit out medications.

Allegation: Staff did not ensure resident had a shower
According to the facility's High Risk Resident Report, between February 28, 2026-March 23, 2026, staff indicated that R1 took showers. S1 indicated that R1 took a shower the same day of the incident on February 28, 2026 and that staff supervised. S2 stated that R1 was showering everyday and that they stood by to ensure showering was completed. S3 stated that R1 was receiving showers and that they did standby to ensure R1 was showering. R1 stated that they were taking showers.

Based on observations, 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: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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