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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700963
Report Date: 07/28/2026
Date Signed: 07/28/2026 11:34:16 AM

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
06/12/2026 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 59-AS-20260612173203
FACILITY NAME:OARS AT GREENBACK LANE, THEFACILITY NUMBER:
342700963
ADMINISTRATOR:CHRISTAL ANDERSONFACILITY TYPE:
740
ADDRESS:6550 GREENBACK LANETELEPHONE:
(916) 212-0388
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:57CENSUS: 49DATE:
07/28/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Rae Ortiz & Paige Perkins TIME COMPLETED:
11:40 AM
ALLEGATION(S):
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reporting requirements
false claims
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived on 07/28/2026 unannounced to conclude a complaint visit regarding the above allegation. LPA met with Memory Care Director Rae Ortiz and Paige Perkins Health Care Director and explained the purpose of the visit.
LPA conducted staff interviews regarding the allegations.

Please continue to LIC9099C....

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
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-20260612173203
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: OARS AT GREENBACK LANE, THE
FACILITY NUMBER: 342700963
VISIT DATE: 07/28/2026
NARRATIVE
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LPA conducted staff interviews regarding the allegations. LPA learned the following: On May 15, 2026, R1 told their daughter that they fell earlier in the day but were able to get themselves back in bed. Staff working that day were interviewed and stated that R1 never fell nor found on the floor. LPA reviewed R1’s file which did not show any documentation of a fall. R1 is diagnosed with Dementia. According to R1’s care plan, they experience occasional episodes of hallucination/delusion. Additionally, R1 needs moderate assistance from staff for mobility, escorts, transferring and extensive assistance for bathing, grooming, dressing, and toileting.

Based on information obtained during the investigation, LPA finds the allegations to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

Exit interview. A copy of this report was provided to the facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2