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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701213
Report Date: 01/22/2026
Date Signed: 01/22/2026 07:42:56 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
09/30/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20250930151234
FACILITY NAME:CARLTON SENIOR LIVING SACRAMENTOFACILITY NUMBER:
342701213
ADMINISTRATOR:WIMMER, KASIEFACILITY TYPE:
740
ADDRESS:1075 FULTON AVENUETELEPHONE:
(916) 971-4800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:185CENSUS: DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
05:45 PM
MET WITH:Cal MendiolaTIME COMPLETED:
07:45 PM
ALLEGATION(S):
1
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9
Staff do not ensure that placemats used for meal services are kept in a sanitary condition.
INVESTIGATION FINDINGS:
1
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3
4
5
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7
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9
10
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13
Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility, to conduct an investigation into the above allegation. LPA met with Cal Mendiola to explain the purpose of the visit.
LPA arrived during a dinner service and did observe a condition of general cleanliness with regards to the floors, cultery, plates, tables, and placemats. LPA also observed a roach trap in the kitchen managers office. LPA interviewed 5 clients, none reported a recent history of uncleanliness with regards to the kitchen, the dining area, or the staff. All found the staff to be responsive to sudden messes, and attentive to thier needs. LPA interviewed 4 staff, kitchen staff have a mix of statements regarding improvements in cleanliness, one in support of a potential risk to the development of bacterial colonies if the placemats are not allowed to air dry properly. Kitchen manager provided a statement that the placemats are chemically treated to prevent development of colonies and the roach problem is being dealt with aggressively. LPA reviewed most recent pest control, 10/10/25, the service is contracted.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
A copy of the report was read and given to the staff. Appeal rights were provided, an exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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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