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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701249
Report Date: 03/05/2026
Date Signed: 03/05/2026 08:05:29 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
09/26/2025 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20250926143120
FACILITY NAME:ROYALTON HOMEFACILITY NUMBER:
502701249
ADMINISTRATOR:PATRICK KALU, EKEFACILITY TYPE:
735
ADDRESS:3413 ROYALTON AVENUETELEPHONE:
(929) 998-1037
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:4CENSUS: 2DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Patrick Kalu TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Centrally stored medications were made accessible to clients in care

Staff did not properly maintain client’s medication records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Administrator Patrick Kalu and explained the reason for the visit. Census: 2

Centrally stored medications were made accessible to clients in care- LPA Lund reviewed reports, interviewed Staff, Reporting Party, and observed pictures dated 9/25/2025 from the facility. Based on reviewed reports, interviews with Staff, Reporting Parting and pictures dated 9/25/2025 from the facility. In the picture dated 9/25/25 at the facility it was observed that medications were not stored centrally and secure. The pictures indicated that medications were on a bed and not properly stored.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 7
Control Number 27-AS-20250926143120
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: ROYALTON HOME
FACILITY NUMBER: 502701249
VISIT DATE: 03/05/2026
NARRATIVE
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Based on reviewed reports, interviews with Reporting Parting, Staff and pictures dated 9/25/2025 from the facility, on the information provided, it clear that centrally stored medications were made accessible to clients in care therefore the allegation was deemed SUBSTANTIATED.

Staff did not properly maintain client’s medication records - LPA Lund reviewed facility reports, interviewed staff and Reporting Party. Staff stated that Client (C1) bought a ointment PRN (as necessary medication) at the store without telling staff. When Valley Mountain Regional Center Staff came to the facility on 9/25/2025 facility staff tried to hide the PRN from Valley Mountain Regional Center Staff in one of the rooms. Valley Mountain Regional Center Staff took a picture of such PRN. The PRN was not prescribed by C1’s doctor.

Based on reviewed facility reports, interviews with Staff and Reporting Parting and pictures dated 9/25/2025 from the facility, the information provided, it clear that staff did not properly maintain client’s medication records therefore the allegation was deemed SUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 27-AS-20250926143120
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: ROYALTON HOME
FACILITY NUMBER: 502701249
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/06/2026
Section Cited
CCR
80075(K)(1)
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80075 Health Related Services (k) The following requirements shall apply to medications which are centrally stored:(1) Medication shall be kept in a safe and locked place that is not accessible to persons other than employees...
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The facility staff had training with Valley Mountain Regional Center. The Administrator with turn in training to LPA Lund.
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This requirement was not met by a picture of medications not being centrally stored on 9/25/2025 at the facility. This poses an immediate health and safety risk to clients in care.
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Type A
03/06/2026
Section Cited
CCR
80075(A)
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(A) There is a written direction from a physician, on a prescription blank, specifying the name of the client, the name of the medication, all of the information specified in Section 80075(e), instructions regarding a time or circumstance (if any) when it should be discontinuedation......
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The facility staff had training with Valley Mountain Regional Center. The Administrator with turn in training to LPA Lund.
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This requirement was not met by The PRN (Medication as necessary ) was not prescribed by C1’s doctor. This poses an immediate health and safety risk to clients 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: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
09/26/2025 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20250926143120

FACILITY NAME:ROYALTON HOMEFACILITY NUMBER:
502701249
ADMINISTRATOR:PATRICK KALU, EKEFACILITY TYPE:
735
ADDRESS:3413 ROYALTON AVENUETELEPHONE:
(929) 998-1037
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:4CENSUS: 2DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Patrick Kalu TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Toxic chemicals were made accessible to clients in care
Facility light fixtures are in disrepair
Staff did not ensure a comfortable facility temperature was maintained for clients in care
Staff did not provide sufficient quality foods to clients in care
Staff did not maintain the labels for client’s medications
Staff did not provide medication assistance to clients in care
Staff did not assist client in care to obtain their medical cards
Staff did not ensure the client was seen by a physician
Staff did not provide activities to clients in car
INVESTIGATION FINDINGS:
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Toxic chemicals were made accessible to clients in care- LPA Lund observed the facility grounds, interviewed Reporting Party (RP), and Staff. Based on observation and interviews with RP and Staff. LPA Lund observed the toxins to be stored in the garage and not in the laundry room. The picture dated 9/25/2025 is from the laundry room where the facility keeps the clients toiletries.

Based on observation, interviews with RP and staff on the information provided, it was unclear if toxic chemicals were made accessible to clients in care, the allegation was deemed UNSUBSTANTIATED.

Facility light fixtures are in disrepair- LPA Lund observed the facility grounds, interviewed Reporting Party (RP), and Staff. Based on observation and interviews with RP and Staff. LPA Lund observed the light in the backyard of the facility. The light didn’t pose any distractions or safety to the clients in care. One out of the four lights were out at the time of the visit on 9/25/2025 with Valley Mountain Regional Center.

Based on observation, interviews with RP and staff on the information provided, it was unclear if facility light fixtures are in disrepair, the allegation was deemed UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 27-AS-20250926143120
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: ROYALTON HOME
FACILITY NUMBER: 502701249
VISIT DATE: 03/05/2026
NARRATIVE
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Facility light fixtures are in disrepair- LPA Lund observed the facility grounds, interviewed Reporting Party (RP), and Staff. Based on observation and interviews with RP and Staff. LPA Lund observed the light in the backyard of the facility. The light didn’t pose any distractions or safety to the clients in care. One out of the four lights were out at the time of the visit on 9/25/2025 with Valley Mountain Regional Center.

Based on observation, interviews with RP and staff on the information provided, it was unclear if facility light fixtures are in disrepair, the allegation was deemed UNSUBSTANTIATED.
Staff did not ensure a comfortable facility temperature was maintained for clients in care- LPA Lund interviewed Reporting Party and Clients in care. Based on interviews, the Reporting Party stated that the facility temperature was 83 degrees, which is within the required range of 68 and 85 degrees. LPA Lund interviewed clients in care who stated the facility temperature is good.

Based on interviews with Reporting Party and Clients in care on the information provided, it was unclear if staff did not ensure a comfortable facility temperature was maintained for clients in care, the allegation was deemed UNSUBSTANTIATED.

Staff did not provide sufficient quality foods to clients in care- LPA Lund reviewed facility records, Modesto Police visit on 9/29/2025, interviews with Reporting Party, Staff and Clients in care. Based on reviewed facility records, Modesto Police visit on 9/29/2025, interviews with Reporting Party, Staff and Clients in care. LPA Lund reviewed facility food receipts from the facility. LPA Lund interviewed Clients in care who stated that they get plenty to eat and the food is great. They have a lot of different choices to eat.

Based on reviewed facility records, Modesto Police visit on 9/29/2025, interviews with Reporting Party, Staff and Clients in care, it was unclear if staff did not provide sufficient quality foods to clients in care, the allegation was deemed UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 27-AS-20250926143120
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: ROYALTON HOME
FACILITY NUMBER: 502701249
VISIT DATE: 03/05/2026
NARRATIVE
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Staff did not maintain the labels for client’s medications - LPA Lund interviewed Reporting Party (RP) and Staff. Based on interviews with RP and Staff. The facility destroys the weekly pills pack after the clients’ medications in done being used. It was observed in a waste back destroyed medications weekly pill pack.

Based on interviews with Reporting Party and Staff on the information provided, it was unclear if staff did not maintain the labels for client’s medications, the allegation was deemed UNSUBSTANTIATED.

Staff did not provide medication assistance to clients in care - LPA Lund reviewed facility records, interviewed Reporting Party (RP) and Staff. Based on facility records, interviews with RP and Staff. Client (C2) came with a hand written note from C2's previous home. C2 came with medication and the facility did a Medication Administration Record (MAR) for C2. C2 did have enough medications when C2 arrived and the facility was able to order more medication when needed.

Based on facility records, interviews with RP and Staff on the information provided, it was unclear if staff did not provide medication assistance to clients in care, the allegation was deemed UNSUBSTANTIATED.

Staff did not assist client in care to obtain their medical cards -LPA Lund reviewed facility paperwork interviewed Reporting Party (RP), and Staff. Based on facility paperwork interviews with RP, and Staff. Client (C2) was admitted to the facility on 7/22/2025 without any identification or Med Cal Cards. The facility requested the information from C2 old facility but didn’t get anything from the old facility. The facility notified Valley Mountain Service Coordinator that C2 didn’t have any identification of Med Cal Cards. The facility has since gotten C2’s California ID and Med Cal Card.

Based on interviews facility paperwork interviews with RP, and Staff on the information provided, it was unclear if staff did not assist client in care to obtain their medical cards, the allegation was deemed UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 27-AS-20250926143120
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: ROYALTON HOME
FACILITY NUMBER: 502701249
VISIT DATE: 03/05/2026
NARRATIVE
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Staff did not ensure the client was seen by a physician - LPA Lund reviewed facility paperwork interviewed Reporting Party (RP), and Staff. Based on facility paperwork interviews with RP, and Staff. Client (C2) was admitted to the facility on 7/22/2025 without any identification or Med Cal Cards. The facility requested the information from C2's old facility but didn’t get anything from the old facility. The facility notified Valley Mountain Service Coordinator that C2 didn’t have any identification of Med Cal Cards. The facility has since gotten C2’s California ID, Biirth Certificate and Med Cal Card. C2 has since gotten a physician in Modesto.

Based on interviews facility paperwork interviews with RP, and Staff on the information provided, it was unclear if staff did not ensure the client was seen by a physician, the allegation was deemed UNSUBSTANTIATED.

Staff did not provide activities to clients in care - LPA Lund reviewed facility paperwork interviewed Reporting Party (RP), Staff and clients in care. Based on facility paperwork interviews with RP, Staff and Clients in care. The facility does have a 2020 Van that take them to outings. Clients interviewed stated that they do go to activities. Staff stated that they do take then in outings.

Based on interviews with Reporting Party and Staff on the information provided, it was unclear if staff did not provide activities to clients in care, the allegation was deemed UNSUBSTANTIATED.

Exit interview conducted, and copies of the report and appeal rights left.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7