347001241-1-2-2025-27-AS-LRIS-DE4TP8-20250221135354

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001241
Report Date: 01/02/2025
Date Signed: 01/02/2025 05:18:49 PM

Unfounded

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
08/19/2024 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20240819161420

FACILITY NAME:	ESKATON GOLD RIVER LODGE		FACILITY NUMBER:	347001241
ADMINISTRATOR:	NEAL TORRES		FACILITY TYPE:	740
ADDRESS:	11390 COLOMA RD		TELEPHONE:	(916) 852-7900
CITY:	GOLD RIVER	STATE: CA	ZIP CODE:	95670
CAPACITY:	134	CENSUS: 79	DATE:	01/02/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Niza Panal, Interim Health and Wellness Director		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Staff did not arrange transportation for residents.
Staff are discriminating against residents.

INVESTIGATION FINDINGS:

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On 01/02/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to deliver the findings of this complaint investigation into the above allegations. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Designee, Niza Panal, the Interim Health and Wellness Director. A brief interview followed.

During today's visit this LPA toured the facility and observed 4 residents in the main lobby sitting by the fireplace, 1 locked medication cart by the main dining room, 18 residents being served dinner by 3 staff and 2 medication technicians. In Memory Care, this LPA observed 7 residents watching the original "Little Shop of Horrors" movie with 2 care staff. LPA also observed 1 other care giver and a visiting home health aid.
Regarding the allegations:
Staff did not arrange transportation for residents.
Staff are discriminating against residents.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

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 4

Control Number 27-AS-20240819161420

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: ESKATON GOLD RIVER LODGE	FACILITY NUMBER: 347001241
	VISIT DATE: 01/02/2025

NARRATIVE

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Interviews were conducted with 10 residents; R1-R10. All were asked questions about their transportation needs and destinations. None reported having any problems getting services. None reported feeling discriminated by staff. As there was no preponderance of evidence, this department found the two allegations to be UNFOUNDED.

According to the California Code of Regulations, Title 22, no deficiencies were observed or cited during today's visit. A copy of this report was provided.

Exit interview.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
08/19/2024 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20240819161420

FACILITY NAME:	ESKATON GOLD RIVER LODGE		FACILITY NUMBER:	347001241
ADMINISTRATOR:	NEAL TORRES		FACILITY TYPE:	740
ADDRESS:	11390 COLOMA RD		TELEPHONE:	(916) 852-7900
CITY:	GOLD RIVER	STATE: CA	ZIP CODE:	95670
CAPACITY:	134	CENSUS: 79	DATE:	01/02/2025
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Niza Panal, Interim Health and Wellness Director		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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9

Staff did not re-evaluate residents to address their medical needs.
Staff are mismanaging residents' medication.

INVESTIGATION FINDINGS:

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3
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5
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7
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11
12
13

On 01/02/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to deliver the findings of this complaint investigation into the above allegations. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Niza Panal, Designee and Interim Health and Wellness Director.

Regarding the allegation: Staff did not re-evaluate residents to address their medical needs.

This LPA conducted interviews and a record review. Interviews with S1 and S2 both stated that evaluations were repeated whenever a resident had a change in condition. Both the responsible party and the primary care physician were notified and the resident was sent out to be medically assessed. LPA reviewed 6 resident files and checked them to ensure that the LIC 602s indicating a change of condition were updated and were partnered with an updated care plan.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 27-AS-20240819161420

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: ESKATON GOLD RIVER LODGE	FACILITY NUMBER: 347001241
	VISIT DATE: 01/02/2025

NARRATIVE

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In 5 out of 6 files, this was the case. The 6th file was for a resident who was undergoing a re-appraisal to be moved into memory care so documentation was in the process of being updated. The standard for the preponderance of evidence has not been met and the department finds the above allegation to be UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

Regarding the allegation: Staff are mismanaging residents' medication.

This LPA reviewed a sample of electronic medication records (EMAR) for 6 residents: R13, R14, R15, R16, R19, and R20 over the months of July and August of 2024 (the time period of this complaint) and found it to be in compliance at the time of this inspection. This LPA also conducted interviews with S1 and S2 and learned that the EMAR system implemented in March of 2024 has assisted with the tracking and administration of medications. The standard for the preponderance of evidence was not met and the department found this allegation to be UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

According to the California Code of Regulations, Title 22, there were no deficiencies observed of cited during today's visit. A copy of this report was provided along with APPEAL RIGHTS and an exit interview was conducted with the Designee.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 4