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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 507002509
Report Date: 11/14/2025
Date Signed: 11/14/2025 01:32:57 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
08/20/2025 and conducted by Evaluator Arielle Pascua
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250820093721
FACILITY NAME:STRATFORD AT BEYER PARK, THEFACILITY NUMBER:
507002509
ADMINISTRATOR:RODRIGUEZ, NICOLE EFACILITY TYPE:
740
ADDRESS:3529 FOREST GLENN DRTELEPHONE:
(209) 236-1900
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:107CENSUS: 81DATE:
11/14/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nicole E RodriguezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility staff are not following doctors orders
Facility staff are not allowing resident access to personal belongings
Facility staff are not meeting residents groomings needs
Resident contracted communicable disease while in care
INVESTIGATION FINDINGS:
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On 11/14/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings. LPA met with Facility Designated Administrator (FDA), Nicole Rodriguez and explained the purpose of the visit.

Current census was 81. A brief interview with FDA Rodriguez was conducted.
Allegation: Facility staff are not following doctors orders.
It was alleged that facility staff are not following doctors orders. During the course of this investigation, LPA conducted interview and review facility records. Based on interviews conducted, it was learned that on 08/04/2025, R1 visited the doctor’s office to address a medication concern, which resulted in a contagious diagnosis. Upon returning to the facility, no additional information regarding the diagnosis was initially communicated to staff. The facility subsequently sought clarification from the physician to ensure proper protocols were implemented and that all medical orders were followed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
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-20250820093721
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: 11/14/2025
NARRATIVE
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Allegation: Resident contracted communicable disease while in care

It was alleged that the resident contracted a communicable disease while in care. During the course of this investigation, the LPA conducted interviews and reviewed facility records. Based on interviews conducted, it was confirmed that no residents contracted a communicable disease while in care. Additional information indicated that the facility had received documentation from a recent doctor’s visit recommending that staff toilet the resident frequently and keep the resident’s incontinence brief off as much as possible to allow skin irritation to subside. However, on 10/15/2025, it was reported that Resident 1 (R1) was not complying with the recommendations provided by the physician, facility staff, and emergency personnel, and it was determined that R1 needed to be transported to the hospital. R1 initially refused transport, and a family member ultimately took the resident to the hospital. Approximately one week later, it was reported that R1 had received an updated physician’s report indicating an infection. There is no evidence or documentation indicating that the infection was contracted at the facility. Furthermore, no reports were submitted to the Local Public Health Office or to the Department regarding any communicable diseases that could pose a risk to the health and safety of other residents in care. Based on the information gathered, there is not sufficient evidence to prove that the resident contracted communicable disease while in care.

As a result of this investigation, this Department found the allegations 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: 11/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2025
LIC9099 (FAS) - (06/04)
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