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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701306
Report Date: 06/20/2025
Date Signed: 06/20/2025 03:39:39 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, THEFACILITY NUMBER:
342701306
ADMINISTRATOR:SELLERS, ALYSSAFACILITY TYPE:
740
ADDRESS:9325 EAST STOCKTON BLVD.TELEPHONE:
(916) 877-7835
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:160CENSUS: 88DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kaushik Sharma, Business ManagerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff are not ordering resident medications in a timely manner.
INVESTIGATION FINDINGS:
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On 6/20/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility unannounced to condut a follow up complaint visit and deliver findings related to the allegation noted above. LPA met with Kaushik Sharma, Business Manager, and stated the purpose of the visit. The Administrator, Alyssa Sellers is unable to attend this visit.

The investigation into the above allegation consisted of staff interviews, including the Administrator (AD) and staff (S1, S3, S4, S5), and a review of facility practices and records.

During the investigation, staff confirmed that medication ordering is their priority at the facility and is conducted in a proactive manner. The AD explained that when a resident’s medication supply is low, staff make efforts to notify the resident's doctor, the responsible party, or the resident themselves if they manage their own medications.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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-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: 06/20/2025
NARRATIVE
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The facility collaborates with pharmacies, including Omnicare, which is offered to residents at no additional charge. Omnicare typically delivers medications on time, and if the resident opts not to use this service, staff coordinate with other pharmacies. For residents who use Kaiser as their pharmacy, the AD explained that while there are occasional delays, staff take extra steps to ensure the medication is obtained, even dispatching a driver to pick it up as a last resort. However, this is only done in emergencies, such as an evacuation situation, and is not a regular service offered by the facility.
Staff S1 reported that when a resident is down to a seven-day supply of medication, staff make contact to the pharmacy for refills and, if necessary, contact the prescribing physician. Staff S3 and S4 provided similar accounts, confirming that medications are ordered well in advance—often when there are 7 to 10 days remaining in a resident's supply. Staff S4 emphasized that medications are ordered as early as possible to prevent shortages and that any delays are typically due to issues on the pharmacy's end, not from staff failing to place orders on time. In cases where a pharmacy does not have a medication in stock, staff take immediate action to contact the doctor and arrange for an alternative solution.
S5 further confirmed that the facility has procedures in place to reorder medications well before supplies run out. She explained that when a medication supply reaches 7 days, staff confirm whether additional medication is available, and if not, an order is promptly placed. Additionally, Staff S5 outlined the steps taken when a medication is out of stock, including notifying the resident’s doctor, the responsible party, and coordinating with pharmacies to expedite the delivery.
A review of the facility’s medication ordering forms also supports the finding that the facility follows appropriate procedures. The Omnicare Refill Order Form requires staff to place orders at least five days before medication runs out, or 10 business days for Schedule II Narcotics. The facility’s own Medication Refill/New Order Roster is used less frequently but also includes clear instructions for tracking orders and deliveries.
While there have been occasional delays in receiving medications from certain pharmacies, the evidence gathered from interviews and records indicates that staff follow a structured and timely process for ordering medications. Therefore, the complaint alleging that staff are not ordering resident medications in a timely manner 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. No deficiencies are being cited based on today's visit.
Exit interview was conducted with Kaushik Sharma (in person) and Carley Taylor (via phone) to discuss the report. 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: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2