342700835-3-10-2026-27-AS-SRIN-DU4487-20260514185215

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700835
Report Date: 03/10/2026
Date Signed: 03/10/2026 02:21:13 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
02/03/2026 and conducted by Evaluator Pang Lee

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20260203091804

FACILITY NAME:	CITY CREEK ASSISTED LIVING		FACILITY NUMBER:	342700835
ADMINISTRATOR:	CALEB SUMMERHAYS		FACILITY TYPE:	740
ADDRESS:	6254 66TH AVENUE		TELEPHONE:	(916) 393-2324
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	121	CENSUS: 115	DATE:	03/10/2026
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Caleb Summerhays and Katelyn Flores		TIME COMPLETED:	02:01 PM

ALLEGATION(S):

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Staff steal money from resident
Staff are not safeguarding resident's personal belongings

INVESTIGATION FINDINGS:

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On 03/10/2026, Licensing Program Analyst (LPA) Pang Lee arrived unannounced at the facility to conduct a complaint investigation. LPA Lee met with Administrator Caleb Summerhays and Health Services Director (HSD) Katelyn Flores explained the purpose of the visit. The census is 115

It was alleged that staff stole money from residents and staff are not safeguarding residents’ personal belongings. The investigation included interviews with staff and residents, observations, and a review of facility records. LPA Lee interviewed 7 of 9 residents, all of whom reported no concerns regarding staff stealing money and not safeguarding residents’ personal belongings. All nine residents confirmed they have a lockable drawer in their rooms; however, not all residents choose to use them. All staff interviewed denied the allegations. During the investigation, it was learned that Resident 1 (R1) discovered their wallet was missing during a doctor’s appointment.

CONTINUED LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

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 27-AS-20260203091804

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: CITY CREEK ASSISTED LIVING	FACILITY NUMBER: 342700835
	VISIT DATE: 03/10/2026

NARRATIVE

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Upon returning to the facility, R1 could not locate the wallet. R1 confirmed that the wallet had not been stored in the lockable drawer and stated they had never previously experienced theft, so did not feel the need to secure it. Moreover, R1 denies that staff 1 (S1) took their wallet and money as R1 didn’t not see S1 taking the items. On 02/05/2026, LPA Lee observed nine resident rooms and confirmed that each room has a lockable drawer, with their own keys to the drawer. Moreover, it was also learned that the facility maintains a master key in case a resident loses theirs so that I can be replaced upon request. A review of the facility’s theft and loss policies and procedures indicated appropriate procedures were in place to address incidents such as R1’s missing property. An inventory sheet documenting residents’ personal belongings is completed upon admission and updated as needed to safeguard items. The facility conducted an internal investigation and assisted R1 in searching their room, including a deep clean, to locate the missing wallet and money. Based on interviews, observations, and record reviews, LPA Lee was unable to corroborate the allegations.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are 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(s)occurred.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026

LIC9099 (FAS) - (06/04)

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