345002854-9-9-2025-59-AS-LMUZ-DLEUZM-20250911160145

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002854
Report Date: 09/09/2025
Date Signed: 09/09/2025 01:29:20 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
08/07/2025 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20250807082444

FACILITY NAME:	ALMOND GROVE ASSISTED LIVING		FACILITY NUMBER:	345002854
ADMINISTRATOR:	PRICE, DARRELL		FACILITY TYPE:	740
ADDRESS:	6135 ALMOND AVENUE		TELEPHONE:	(916) 988-7506
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	78	CENSUS: 57	DATE:	09/09/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Administrator, Kim Jackson		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff do not follow infection control guidelines.
Staff did not prevent outbreak of contagious disease.
Licensee does not ensure staff have required training.
Staff are not providing adequate food service.
Staff do not follow reporting requirements.

INVESTIGATION FINDINGS:

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On 09/09/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegations listed above. LPA met with Administrator, Kim Jackson during today's visit and explained the purpose of the visit.

The department conducted records review and interviews with staff and residents 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: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

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 59-AS-20250807082444

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: ALMOND GROVE ASSISTED LIVING	FACILITY NUMBER: 345002854
	VISIT DATE: 09/09/2025

NARRATIVE

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**Report continued from 9099....

Allegation- Staff do not follow infection control guidelines. Staff did not prevent outbreak of contagious disease. -UNFOUNDED

Based on observation, record review, and statements reviewed, the facility was following infection control guidelines with recent covid+ cases outbreak. It was noted that facility followed all directives from the department and from health department with handling of recent covid outbreak at the facility, and an in-service to staff is reviewed on proper hand washing and universal precautions. Facility encouraged residents to stay in their rooms during the episode. Four residents and seven staff interviews did not indicate any concerns about this matter. It was observed the facility had required PPE outside the resident’s room; therefore, the allegation is UNFOUNDED.

Allegation- Licensee does not ensure staff have required training. -UNFOUNDED

The Department conducted interviews with seven staff members and reviewed record regarding the allegation cited above. Staff interviews revealed that staff have adequate training (on boarding and ongoing) regarding infection control guidelines and other required topics and there were no issues. Staff interviews also reflected that the facility has adequate supplies of PPE and other care items to take care of residents. Four resident interviews indicated that staff were properly trained, and residents felt safe with the staff’s care without any problems. Record review indicated that facility has all required documentation regarding staff’s training per Title 22 Regulations, therefore these allegations were found to be Unfounded.

*** Report continued .....

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250807082444

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: ALMOND GROVE ASSISTED LIVING	FACILITY NUMBER: 345002854
	VISIT DATE: 09/09/2025

NARRATIVE

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***Report continued from 9099.....

Allegation- Staff are not providing adequate food service. -UNFOUNDED

An investigation has been conducted regarding the above allegation. LPA observed the facility’s food supply as well as interviewed residents regarding the food service. Based on observation and interviews, the facility keeps the required amount of food supply in the facility per Title 22 Regulations. Additionally, four (4) residents interviews indicated that residents are satisfied with the food service at the facility and deny they missing any meal there. During resident’s interviews, it has been found out that the main dining room was closed temporarily during recent covid+ cases outbreak per health department’s directive, but their meal services were fine. Seven staff interviewed indicated that there were no issues related to residents meal services at the facility. Based on the information, this allegation is found to be Unfounded.

Allegation- Staff do not follow reporting requirements. -UNFOUNDED

The Department conducted interviews with seven staff, and reviewed records to investigate this allegation. Staff interviews indicated that the facility was notifying all reportable incidents to residents, responsible parties and other required agencies including recent covid+ cases and there were no concerns. Record review reflected that the facility kept proper call logs, email communications and other modes of communications by which facility was notifying residents, responsible parties and other agencies any reportable items per regulations and there were no issues . Based on this information, this allegation is 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 interview conducted. A copy of this report has been provided to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

LIC9099 (FAS) - (06/04)

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