507002509-8-25-2025-27-AS-LRIS-DLDPSY-20250910113508

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 507002509
Report Date: 08/25/2025
Date Signed: 08/25/2025 12:17:15 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
07/11/2025 and conducted by Evaluator Arielle Pascua

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250711131606

FACILITY NAME:	STRATFORD AT BEYER PARK, THE		FACILITY NUMBER:	507002509
ADMINISTRATOR:	RODRIGUEZ, NICOLE E		FACILITY TYPE:	740
ADDRESS:	3529 FOREST GLENN DR		TELEPHONE:	(209) 236-1900
CITY:	MODESTO	STATE: CA	ZIP CODE:	95355
CAPACITY:	107	CENSUS: 82	DATE:	08/25/2025
		UNANNOUNCED	TIME BEGAN:	11:17 AM
MET WITH:	Nicole Rodriguez		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff mismanaged resident's medication
Staff did not safeguard resident's personal items

INVESTIGATION FINDINGS:

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On 08/25/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Nicole Rodgriuez and explained the purpose of the visit. The purpose of this visit to deliver complaint findings for the allegations above.

Current census was 82. A brief interview with FDA Rodriguez was conducted.
Allegation: Staff mismanaged resident's medication
It was alleged that staff mismanaged resident's medication. During the course of this investigation, the department conducted interviews and reviewed facility records. Through staff interviews, it was determined that Resident 1 (R1) frequently experienced medical conditions that could impair their ability to understand the medications being administered. A review of the resident's records further confirmed that R1's diagnosis may contribute to confusion regarding their medications.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025

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

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250711131606

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: STRATFORD AT BEYER PARK, THE	FACILITY NUMBER: 507002509
	VISIT DATE: 08/25/2025

NARRATIVE

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Additionally, a review of the resident’s Medication Administration Record (MAR) was conducted. LPA Pascua did not find any discrepancies indicating that facility staff mismanaged the resident’s medication. Based on the information gathered, there is not sufficient evidence to prove that the facility mismanaged the resident's medication.

Allegation: Staff did not safeguard resident's personal items
It was alleged that the staff did not safeguard resident's personal items. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conducted, it was denied that the facility staff did not safeguard resident's personal items. Staff stated that a resident inventory list is provided to residents, documenting the items kept at the facility. In addition, if incontinent supplies are one of the items, these are not shared with any other residents. An interview with 5 residents were conducted. 5 out 5 residents deny that the facility does not safeguard the resident's personal items.
Based on the information gathered, there is not a sufficient evidence to prove that the facility staff did not safeguard resident's medication.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025

LIC9099 (FAS) - (06/04)

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