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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 577001215
Report Date: 09/26/2025
Date Signed: 09/26/2025 04:13:11 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2025 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20250804122404
FACILITY NAME:UNIVERSITY RETIREMENT COMMUNITY AT DAVISFACILITY NUMBER:
577001215
ADMINISTRATOR:MARIA BURTONFACILITY TYPE:
741
ADDRESS:1515 SHASTA DRIVETELEPHONE:
(530) 747-7000
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:500CENSUS: 52DATE:
09/26/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Maria Burton, AdministratorTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Facility does not have running water.
Staff not providing residents with water.
INVESTIGATION FINDINGS:
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On 9/26/25 Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conclude the investigation regarding the above allegations and to deliver findings. LPA met with Maria Burton, Assisted Living Administrator to discuss findings.
The complaint alleges that Facility does not have running water and Staff not providing residents with water. The complainant states that since 7/31/25 there is no running water; however the complainant also states that there is a small stream of water coming from the sink. It was reported to the Department by the facility on 8/4/25 that there had been a water main break and the facility was in the process of making repairs.
(Continued on 9099-C)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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 3
Control Number 21-AS-20250804122404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
FACILITY NUMBER: 577001215
VISIT DATE: 09/26/2025
NARRATIVE
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(Continued from 9099)

On 8/5/2025 LPA conducted a facility tour and observed that the allegation listed in the complaint is located on the Independent Living (IL) portion of the facility. LPA conducted interviews of residents on each of the four floors in the main building. Independent Living (IL) Residents from the 3rd and 4th floors reported a loss of water pressure, experienced low water flow and low pressure including difficulty in flushing toilets. Two (2) of three (3) residents on the 3rd and 4th floor stated that they were able to retrieve bottled water from resident services downstairs. IL residents from the second floor of the building did not experience the same loss of water pressure and stated they were able to access water and could flush toilets. The LPA observed that the Assisted Living and Memory Care units on the first floor, which are under the license from CCL did have water pressure and were able to access water, and flush toilets. In addition, it was reported to LPA by Executive Director Alika Cassilla, that bottled water was provided to all residents in Independent Living and Assisted Living during the time the repairs were being made. According to the Executive Director Alika Casilla, updates regarding the work on the water pipes was provided to the residents regularly through the Echo system which every resident, other than Memory Care, has available to their rooms. Five (5) of six (6) of the IL residents interviewed stated that they did not have any issues with the way the facility handled the situation. Although the general consensus was that it was inconvenient, residents felt the facility was handling the situation quickly.
Community Care Licensing (CCL) does not have jurisdiction to enforce regulations on the Independent Living units of the facility. Based on the investigation, LPA was unable to identify any deficiencies in the maintenance of the property on the Assisted Living (AL) side of the facility that CCL does have jurisdiction. The facility was actively repairing an unforeseen water system failure quickly, and although residents did have some inconveniences the facility acted timely and responsively and was providing water to residents.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20250804122404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: UNIVERSITY RETIREMENT COMMUNITY AT DAVIS
FACILITY NUMBER: 577001215
VISIT DATE: 09/26/2025
NARRATIVE
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Continued from 9099-C

This agency has investigated the complaint allegations “Facility does not have running water” and “Staff not providing residents with water”. After interviews, observations, and other investigation the agency has found that the allegations were Unsubstantiated,, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiencies were cited.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3