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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347005109
Report Date: 05/29/2026
Date Signed: 05/29/2026 03:38:49 PM

Substantiated


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
05/29/2026 and conducted by Evaluator Kevin Gould
COMPLAINT CONTROL NUMBER: 27-AS-20260529085047
FACILITY NAME:AMERICAN RIVER CARE HOME 2FACILITY NUMBER:
347005109
ADMINISTRATOR:HARUE SEKIFACILITY TYPE:
740
ADDRESS:2801 TIOGA WAYTELEPHONE:
(916) 283-6716
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:6CENSUS: 6DATE:
05/29/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Harue Seki TIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff are not Criminally Record Cleared
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced complaint inspection at American River Care Home 2 RCFE on 5/29/26 at 1:50pm to inform the licensee of complaint allegation mentioned above and deliver findings.

Based on the documents reviewed during the investigation process, the allegations are substantiated. LPA reviewed the current staff schedule and compared to the associated staff listings in department systems and determined that one staff member has no criminal record clearance and three staff members have a criminal record clearance but not associated to the facility.

The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of criminal record clearance is substantiated.

Report Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
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 3
Control Number 27-AS-20260529085047
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: AMERICAN RIVER CARE HOME 2
FACILITY NUMBER: 347005109
VISIT DATE: 05/29/2026
NARRATIVE
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The following deficiency is cited per California Code of Regulations, TITLE 22. An immediate civil penalty was issued during today's inspection.

Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the home.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20260529085047
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: AMERICAN RIVER CARE HOME 2
FACILITY NUMBER: 347005109
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2026
Section Cited
CCR
87355(e)(2)
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Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.
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Administrator has agreed to ensure staff members obtain a live scan. and have them associated. Administrator will also submit a step by step plan/procedures to ensure all staff have a criminal record clearance prior to working at the facility.
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This requirement was not met as evidenced by LPA review of staff records where LPA observed one staff member at the facility without a current criminal record clearance on file which poses an immediate health, safety or personal rights risk to residents in care.
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Type A
05/30/2026
Section Cited
CCR
87355(e)(3)
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Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c).
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Administrator has agreed to ensure staff members criminal record clearances are associated to this facility and have them associated. Administrator will also submit a step by step plan/procedures to ensure all staff have a criminal record clearance prior to working at the facility.
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This requirement was not met as evidenced by LPA review of staff records where LPA observed three staff members at the facility without a current criminal record clearance transerred to this facility on file which poses an immediate health, safety or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3