<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347005467
Report Date: 08/27/2026
Date Signed: 08/27/2026 02:44:56 PM

Unsubstantiated


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
06/29/2026 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20260629174042
FACILITY NAME:BROOKDALE FOLSOMFACILITY NUMBER:
347005467
ADMINISTRATOR:SHARI KRANIGFACILITY TYPE:
740
ADDRESS:780 HARRINGTON WAYTELEPHONE:
(916) 983-9300
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:130CENSUS: 84DATE:
08/27/2026
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shari Kranig, Executive DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility failed to seek timely medical
-Resident sustained unstageable wound while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director, Shari Kranig, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, the department conducted interviews and obtained documentation pertinent to the investigation.

Resident (R1’s) Personal Service Plan, dated September 9, 2025, indicated that the only activity of daily living (ADL) that R1 required assistance with was showering twice per week. R1 was independent going to the dining room or community activities, as well as self-managing their own medication, which included self-administering, ordering, coordinating, and safe storage. According to R1’s Progress Notes, on January 31, 2026, staff (S2) indicated that R1 was escorted back to their room due to weakness. R1 had indicated that their responsible party would deliver medication for their cold. Additional notes from January 31, 2026
**************************************************Continued on LIC9099-C************************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
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 2
Control Number 59-AS-20260629174042
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: BROOKDALE FOLSOM
FACILITY NUMBER: 347005467
VISIT DATE: 08/27/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
indicated that staff had checked up on R1 a few times throughout the evening and R1 stated that their responsible party had brought them medication. On February 1, 2026, staff checked on R1 and R1 stated that they were alright and taking their medication. Staff advised R1 to drink lots of fluids. On February 2, 2026, Progress Notes indicated that staff checked on R1 throughout their shift. R1 stated that they were feeling much better that day. On February 3, 2026, staff (S4) tested R1 for Influenza A and B and COVID. R1 tested positive for Influenza A. R1 was informed of masking and isolation requirements, as well as that meals would be delivered to them. Additional notes from February 3, 2026 indicated that R1 had been taking medication for their illness since January 31, 2026. R1’s symptoms were still present and R1 reported feeling lethargy and was coughing infrequently. On February 4, 2026, S2 indicated that R1 had been found that morning on the floor at around 8am and R1 was sent to the hospital. Emergency Medical Services (EMS) Records indicated that they were notified on February 4, 2026 at 7:58am regarding R1. EMS began their assessment of R1 at 8:03am. R1 did not experience any acute changes while in route to the hospital.

Hospital records indicated that R1 was admitted to the hospital on February 4, 2026 due to being “found down”. Additionally, hospital records indicated that, on February 5, 2026, R1’s skin was assessed. R1 was observed to have a stage 1 pressure injury measuring 1.0x0.4cm as evidenced by non-blanchable redness, a deep tissue injury/unstageable pressure injury on buttocks measuring 10.0x9.0cm as evidenced by dark red/purple discoloration and slough noted, and a deep pressure injury on their right ischial lower buttock measuring 1.5x0.6cm as evidenced by dark red/purple discoloration. According to staff interviews and R1’s Personal Service Plan, R1 was independent with their ADLs and only required assistance with showering. R1’s shower logs indicated that they received a shower on January 29, 2026 and no skin issues were observed. R1’s shower logs indicated that they refused a shower on February 2, 2026. R1’s progress notes indicated that, on February 4, 2026, staff did not observe any skin injuries as a result of R1’s fall. Interviews with skilled professionals indicated that wounds such as R1’s could occur within hours.

Based on interviews conducted and documentation obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2