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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002805
Report Date: 08/28/2025
Date Signed: 08/28/2025 12:55:35 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
08/04/2025 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20250804120930
FACILITY NAME:CARLTON SENIOR LIVING ORANGEVALEFACILITY NUMBER:
345002805
ADMINISTRATOR:DIRAR, EMANUELFACILITY TYPE:
740
ADDRESS:8773 OAK RDTELEPHONE:
(916) 988-2200
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:136CENSUS: 91DATE:
08/28/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator, Emanuel Dirar TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff are not properly addressing pest infestation in the facility.
Staff are not practicing proper hand washing procedures.
Facility kitchen is not kept clean and orderly.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 08/28/25 to deliver complaint findings for above allegations. LPA met with Administrator, Emanuel Dirar and explained the purpose of the visit.

The department conducted records review ,facility observations and interviews to investigate the complaint.



**Report continued on LIC9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
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 59-AS-20250804120930
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CARLTON SENIOR LIVING ORANGEVALE
FACILITY NUMBER: 345002805
VISIT DATE: 08/28/2025
NARRATIVE
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***Report continued from 9099......
Allegation- Staff are not properly addressing pest infestation in the facility.-UNFOUNDED

Based on documents obtained and statements reviewed, the department determined that there was insufficient evidence that the facility is not kept free of pests. The facility representative stated that the pest control company comes in monthly, and more often as needed. The department reviewed Pest Control dates for the monthly visits for 2025 which did not indicate any concerns. It was stated that the Pest Control company just visited the facility over a week ago and sprayed the exterior and interior of the building. The pest control company is continuing to monitor any pest activity. Five (5) staff and five (5) residents were interviewed and stated they have not seen any pests at the facility. During the department visits, the facility was toured and there were no concerns that were noted about this area. Therefore, the above allegation is UNFOUNDED.

Allegation- Staff are not practicing proper hand washing procedures. -UNFOUNDED

The Department conducted record review, interviewed five residents and five staff members to investigate this allegation. Staff interviews reflected that facility are following infection control guidelines including proper hand washing and there were no issues to report. Resident’s interviews indicated that the facility was complaint with infection control guidelines, and they were satisfied with staff’s care at the facility. Staff interviews also reflected that staff were getting the required training and in-services per department’s directions for infection control and other required topics and there were no concerns. Based on these findings, this allegation is considered UNFOUNDED.

Allegation- Facility kitchen is not kept clean and orderly. -UNFOUNDED

The department toured the facility during the investigation which included resident’s rooms , bathrooms, kitchen, dining area and other areas in the facility and did not observe any concern regarding cleanliness. LPA reviewed documents pertinent to the investigation which indicated that residents’ rooms are being cleaned and maintained by staff. LPA reviewed work orders placed at the facility for maintenance like carpet and floor cleanings which indicated staff and maintenance teams were cleaning on a regular basis to keep the facility and resident rooms and other areas clean and sanitized. Five staff and five resident’s interviews did not reflect any concerns that the facility was not kept clean and orderly. Based on the information gathered, this allegation was found to be UNFOUNDED.

Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. Exit meeting conducted. A copy of this report has been provided to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2