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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347001241
Report Date: 07/17/2025
Date Signed: 07/17/2025 05:17:28 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
03/21/2025 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20250321085040
FACILITY NAME:ESKATON GOLD RIVER LODGEFACILITY NUMBER:
347001241
ADMINISTRATOR:ALFREDO CRUZFACILITY TYPE:
740
ADDRESS:11390 COLOMA RDTELEPHONE:
(916) 852-7900
CITY:GOLD RIVERSTATE: CAZIP CODE:
95670
CAPACITY:134CENSUS: 88DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Alfredo Cruz, AdminisratorTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff are charging residents for services not needed
Staff are faslifying residents care plans
Staff are using medical equipment on residents without a doctors order
INVESTIGATION FINDINGS:
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On 07/17/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to complete a complaint investigation. LPA Campbell met with Administrator Alfredo Cruz and explained the purpose of the visit.

Regarding the allegation that staff are charging residents for services not needed, LPA Campbell spoke with F1 (Family 1) and F2 and confirmed that the charges received for resident care have been accurate. Staff 3 (S3) stated that when residents do not need services, they report it to staff, updates are made to the care plan and future charges removed. F3 shared that when they let staff know that R3 was able to do everything themselves, the community reassessed Resident 3 (R3), lowered their monthly costs and reversed the fees.

Regarding the allegation that staff are faslifying residents care plans, LPA Campbell called F1 and F2 and asked them what their family members needed assistance with. The Activities of Daily Living (ADL)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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 27-AS-20250321085040
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: 07/17/2025
NARRATIVE
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that R1, R2 and R3 needed assistance with as found on their 602, matched what was shared by F1, F2 and F3. This also aligned with the Services History Log updated by staff. F1 was also able to recite R2's limitations which matched R2's Capacity for Self Care from their 602.

Regarding the allegation that staff are using medical equipment on residents without a doctors order, of the three staff interviewed (S1, S2, S3) were asked when they had used the lift alone, all staff interviewed stated that had not and would not use it alone because it was a two person procedure. The community reported that there was only one person (R4) actively using a Hoyer lift and they were in Memory Care. The resident is non-verbal as stated in their 602 and could not be interviewed.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore this allegation is UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6 Chapter 8, no deficiencies cited.  Exit interview was held and a copy of report was given to Alfredo Cruz.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2