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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700419
Report Date: 10/28/2025
Date Signed: 10/28/2025 10:57:05 AM

Substantiated


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
10/01/2025 and conducted by Evaluator Kevin Gould
COMPLAINT CONTROL NUMBER: 27-AS-20251001145539
FACILITY NAME:TIMELESS TREASURESFACILITY NUMBER:
342700419
ADMINISTRATOR:FINTEL, AARONFACILITY TYPE:
740
ADDRESS:3446 BECERRA WAYTELEPHONE:
(916) 359-1355
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:6CENSUS: 5DATE:
10/28/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Aaron FintelTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Medication: Facility staff are neglecting resident care needs
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to Timeless Treasures RCFE on 10/28/25 at 10:30am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with Administrator Aaron Fintel and together discussed the investigation details.

Based on the interviews and documentation obtained during the investigation process, the allegations are substantiated. The department has determine based on statements and review of R1's physician report, R1 lacks the physical/mental ability to completed the self administration of blood glucose testing and corresponding injections. The department has concluded the facility staff are administering injections for R1 without an appropriately skilled professional.

The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Medications are substantiated. Report Continued on LIC 9099-C.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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 3
Control Number 27-AS-20251001145539
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: TIMELESS TREASURES
FACILITY NUMBER: 342700419
VISIT DATE: 10/28/2025
NARRATIVE
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The following deficiency is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted with facility administrator. Appeal Rights were issued, and a copy of this report was left at the home.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20251001145539
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: TIMELESS TREASURES
FACILITY NUMBER: 342700419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/29/2025
Section Cited
CCR
87629(b)(1)
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Injections: Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance This requirement was not met as evidenced by R1 lacking capacity to self administer own insulin injections and perform own blood glucose testing and these
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Administrator has agreed to submit a restricted health care plan for R1 by the POC due date with the incorporation of home health to conduct insulin and blood glucose testing for R1 on a daily basis to meets the needs of the resident. POC due date is 10/29/25.
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tasks were not completed by an appropriately skilled professional such as an RN or LVN per regulations which poses an immediate health, safety and personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3