342701306-4-3-2025-27-AS-KHOS-DJ6T8R-20250701143044

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701306
Report Date: 04/03/2025
Date Signed: 04/03/2025 04:44:33 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
12/23/2024 and conducted by Evaluator Arvin Villanueva

COMPLAINT CONTROL NUMBER: 27-AS-20241223153138

FACILITY NAME:	MEADOWS SENIOR LIVING, THE		FACILITY NUMBER:	342701306
ADMINISTRATOR:	SELLERS, ALYSSA		FACILITY TYPE:	740
ADDRESS:	9325 EAST STOCKTON BLVD.		TELEPHONE:	(916) 877-7835
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY:	160	CENSUS: 89	DATE:	04/03/2025
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Alyssa Sellers		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff is not properly assessing residents in care.

INVESTIGATION FINDINGS:

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On 4/3/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility unannounced to conduct a follow up complaint visit regarding the allegations noted above. LPA met with Administrator Alyssa Sellers (AD) and stated the purpose of this visit.

The investigation into the above allegation consisted of interviews and record reviews.

Through record review, it was determined that the staff at the facility, including (S2) and (S1), are responsible for assessing residents in care and fulfilling their duties as required. S2, the Transition Specialist (TS), is responsible for guiding prospective residents through the move-in process and conducting assessments as part of their role. S2 is qualified with a current 1st aid/CPR certificate and plays a role in bridging the gap between new residents and the community. S2’s involvement in assessing residents is consistent with the position, and S2 ensures that proper care plans are in place before residents transition into the facility.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

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-20241223153138

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: MEADOWS SENIOR LIVING, THE	FACILITY NUMBER: 342701306
	VISIT DATE: 04/03/2025

NARRATIVE

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Similarly, S1, as the Health and Wellness Director, holds a significant role in assessing residents' health and wellbeing. With a background in nursing and a current nursing license, S1 supervises personal care staff and coordinates the services provided to residents. S1’s responsibilities include performing thorough health assessments of all new residents, monitoring the health status of current residents, and participating in care conferences to discuss the ongoing needs of residents. S1’s qualifications, including CPR certification and state nursing license, manage the health and wellness of residents. In addition, S1 works closely with other staff members, including the Residential Care Director and the Sales Director, to ensure that all assessments and care plans are reviewed thoroughly and adjusted as necessary.
Through interview, the assessment process involves multiple levels. S1 discussed the process involved in assessing residents. S1's role includes making recommendations based on assessments of residents' activities of daily living (ADLs). These recommendations are passed on to the administrator (AD), who further reviews the information and ensures the resident’s needs are met appropriately by the facility. After the administrator’s assessment, the recommendations are sent to corporate overseers for final approval. This multi-step approach ensures that every aspect of a resident's needs is addressed and verified.
Interview also indicated that along with other staff members such as the Residential Care Director, actively assist with residents' care when needed, especially during times of staff shortages. S1 and the Residential Care Director, occasionally provide hands-on care to residents if necessary. Furthermore, S1 is responsible for assessing situations that require medical attention, such as minor injuries, and providing appropriate care. If more specialized care, such as home health or hospice services, is required, those needs are handled by external agency staff, ensuring that the resident receives the best possible care for their specific circumstances and needs.

Based on the gathered information, there is no preponderance of evidence that staff are not properly assessing residents. Therefore, this allegation is UNSUBSTANTIATED. An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with Alyssa Sellers and Carley Taylor. A copy of this report and appeal rights were provided.

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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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