<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701213
Report Date: 04/28/2026
Date Signed: 04/28/2026 08:44:00 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
04/22/2026 and conducted by Evaluator Avelina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260422152033
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: 53DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Christin PannellTIME COMPLETED:
09:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared individuals are providing care and supervision.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Avelina Martinez arrived at the facility unannounced on April 28, 2026, at 7:00 AM to open and deliver complaint findings, LPA Martinez met with Christin Pannell and explained the purpose of the visit.

Throughout the course of the investigation, LPA Martinez conducted interviews and reviewed facility files. It was learned that staff 1 (S1) was allowed to work at this facility prior to obtaining criminal record clearance documentation and approval from Community Care Licensing Department (CCLD). S1 worked at this facility from December 12, 2025 to April 17, 2026. Violation of Section 87355(e) shall result in an immediate assessment of civil penalties. A civil penalty in the amount $500.00 shall be assessed on April 28, 2026.

An exit interview was conducted, and a copy of this 9099 report, 9099-D Page, LIC421BG, and appeals rights documentation was provided to Christin Pannell.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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 27-AS-20260422152033
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: CARLTON SENIOR LIVING SACRAMENTO
FACILITY NUMBER: 342701213
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/29/2026
Section Cited
CCR
87355(b)(e)
1
2
3
4
5
6
7
87355(b)(e) Criminal Record Clearance:All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working...This requirement was not met as evidence by: based on record review and interviews, the
1
2
3
4
5
6
7
Facility staff members are currently conducting an employee file audit. Facility staff agrees to conduct hiring in-service training for all care managers and hiring recruiter by May 01, 2026.
8
9
10
11
12
13
14
Licensee did not ensure that S1 was eligible to work in a licensed care facility and did not obtain criminal record clearance documentation prior to S1 working at the facility. This posed an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Facility staff member agrees to email LPA Martinez Audit and training agenda by poc date April 29, 2026, by 5:00 PM. Facility staff agrees to email training documentation by May 01, 2026 by 5:00 PM.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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