345920121-4-2-2025-59-AS-MSEY-DFRMCN-20250415092950

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345920121
Report Date: 04/02/2025
Date Signed: 04/02/2025 01:18:10 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
02/26/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20250226091135

FACILITY NAME:	HARJIT AND NAVGEET RCFE II		FACILITY NUMBER:	345920121
ADMINISTRATOR:	KAUR, NAVGEET		FACILITY TYPE:	740
ADDRESS:	4400 BELMONT PLACE LANE		TELEPHONE:	(916) 514-8957
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95841
CAPACITY:	6	CENSUS: 6	DATE:	04/02/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Navgeet Kaur		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff do not meet the residents incontinence needs.
Staff do not ensure the residents adequate quantity of food.

INVESTIGATION FINDINGS:

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On April 2,2025 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings.

LPA reviewed staff records, facility records, and conducted interviews.
LPA finds that facility met Tittle 22 requirements.

Resident records, hosice records and interviews of caregivers finding that R1's condition is stable. Observations during this invstigation found R1 clean and well groomed. R1's food intake is stable and the facility provides foods of appropriate nutrition and availability to R1.

This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.
Exit interview conducted and report provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025

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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