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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340313383
Report Date: 08/14/2025
Date Signed: 08/14/2025 04:00:27 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
05/02/2025 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250502112328
FACILITY NAME:ESKATON VILLAGEFACILITY NUMBER:
340313383
ADMINISTRATOR:RIST, ALICIAFACILITY TYPE:
741
ADDRESS:3939 WALNUT AVETELEPHONE:
(916) 974-2000
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:500CENSUS: DATE:
08/14/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sean Beloud, Healthcare Administrator TIME COMPLETED:
04:15 PM
ALLEGATION(S):
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-Staff do not treat resident with dignity and respect
-Staff withhold food from resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Healthcare Administrator, Sean Beloud, to deliver complaint investigation findings regarding the above stated allegations.

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

Facility provided LPA their internal investigation, which did not indicate any findings of staff treating residents with a lack of dignity or respect, as well as staff withholding food from residents in care. Interviews with staff (S1, S2, S3, S4, and S5) indicated that they have never witnessed staff treating residents with a lack of dignity or respect. Residents (R1, R2, and R3) indicated that staff treat them well and are meeting all their needs. R2 and R3 indicated that staff are respectful.

***********************************************Continued on LIC9099-C***********************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
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 59-AS-20250502112328
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: ESKATON VILLAGE
FACILITY NUMBER: 340313383
VISIT DATE: 08/14/2025
NARRATIVE
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Interviews with S1, S2, S3, S4, and S5 indicated that they have never witnessed staff withholding food from residents in care. R1, R2, and R3 stated that the food is good and that they get plenty of food to eat. R2 indicated that the facility weighs residents periodically. Facility provided LPA with the memory care unit's monthly weight records from March 2025-May 2025, which did not indicate any significant weight changes.

S1, S2, S3, S4, and S5 indicated that they would report it if they witnessed staff treating residents with a lack of dignity or respect, as well as if they witnessed staff withholding food from residents. Staff also indicated that they are aware of the procedures for reporting incidents of suspected abuse.

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: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2