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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701551
Report Date: 07/13/2026
Date Signed: 07/14/2026 03:01:00 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
04/01/2026 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260401150548
FACILITY NAME:WOODLAKE, THEFACILITY NUMBER:
342701551
ADMINISTRATOR:ROSS, LATRICEFACILITY TYPE:
740
ADDRESS:1445 EXPO PARKWAYTELEPHONE:
(916) 472-5773
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:144CENSUS: 130DATE:
07/13/2026
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Alexandra NoelTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff do not safeguard resident's personal items.
Staff did not meet residents needs.
Staff did not assist resident with Activities of Daily Living (ADLs).
Staff did not accord resident with dignity and respect.
Staff retaliated against a resident.
Staff did not prevent a resident from harassing other residents.
Administrator did not address multiple complaints against a staff member.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct a complaint investigation and to deliver findings for the allegations mentioned above.

Based on interviews, records reviewed, and information obtained, the allegations could not be corroborated.

Safeguarding personal items, records and staff interviews indicate R1 vacated on March 30, 2026, and housekeeping performed standard room turnover. Staff reported only perishable food items were discarded. No evidence was found indicating non-perishable personal property was improperly disposed of. As it relates to ADL assistance, dignity, respect, and retaliation, interviews with staff and residents did not support RP’s statements.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
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-20260401150548
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: WOODLAKE, THE
FACILITY NUMBER: 342701551
VISIT DATE: 07/13/2026
NARRATIVE
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No documentation or witness accounts corroborated claims that staff prevented ADL assistance, refused care, retaliated against R1, or encouraged false complaints. As it relates to the allegation resident harassment, interviews indicated staff intervene as needed. No evidence was found that the Administrator failed to address safety concerns.

Complaints against staff, internal logs did not show substantiated findings or patterns of neglect by management.

Although the concerns may have occurred or may be valid to some degree, there is not a preponderance of evidence to prove that staff failed to safeguard personal items, meet resident needs, assist with ADLs, provide dignity and respect, prevent resident-to-resident harassment, retaliate against R1, or that the Administrator failed to address complaints.

All allegations are UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2