312700042-12-8-2025-59-AS-MSEY-DPGUL5-20251218144010

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700042
Report Date: 12/08/2025
Date Signed: 12/08/2025 12:59:33 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
09/30/2025 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 59-AS-20250930160714

FACILITY NAME:	SUMMERSET LINCOLN ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	312700042
ADMINISTRATOR:	MEGAN GALLAGHER		FACILITY TYPE:	740
ADDRESS:	567 3RD STREET		TELEPHONE:	(916) 409-4150
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY:	132	CENSUS: 64	DATE:	12/08/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Megan Gallagher		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff are not responding to resident's call button in a timely manner
Staff are not providing a comfortable environment for resident
Staff are not treating resident with dignity
Staff are retaliating against resident for filing a complaint

INVESTIGATION FINDINGS:

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On 12/08/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Megan Gallagher.

LPA conducted room inspections, records review and extensive interviews.
LPA is unable to find and or meet the preponderance, per policy.

The following are the findings regarding allegations listed:
Staff are not responding to resident's call button in a timely manner- LPAs reviewed call button records and interviews. There are extensive call response records for staff response to R1's calls for assistance. Additionally it is reported that R1 has, at times, also used their cell phone to call directly to the facility phone for assistance. While records show some call times to exceed 15 minutes, there is no specific call response time dictated in Title 22 regulations; rather, regulations require that the care assistance needs are met with sufficient and competent staffing. This requirement was met.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025

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 59-AS-20250930160714

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: SUMMERSET LINCOLN ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 312700042
	VISIT DATE: 12/08/2025

NARRATIVE

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Review of records and interviews also found that R1 requires stand-by assist for transfers and ADLs. Interviews also found that R1 is not always compliant to ask for and wait for assistance. Some of the reported times where R1 needed to wait for staff assist from the toilet were times where R1 did not notify staff before self ambulating to the toilet so staff longer responses could be attributed to delays due to care for others.

Staff are not providing a comfortable environment for resident- Interviews and inspections found R1's room to have the required furniture and fixtures. Additionally, staff provide regular house keeping and pet care for R1's dog. R1's room was observed to be clean and odor- free. Part of what was reported as discomforts were noises such as an adjacent door alarm, other residents' alarms needed for their care or behavioral expressions of others. As R1 resides in a memory care facility in which noises of others or others' equipment, those noises, while unfortunate, do not constitute an uncomfortable environment under Title 22 requirements.

Staff are not treating resident with dignity- Observations and interviews did not find sufficient evidence that facility staff have not treated R1 with dignity and respect. Records found that R1 has care needs in the high care level. Additionally, R1 received approximately 14- 20 call response by staff in the Sept call logs reviewed. Interviews found that staff interact with R1 respectfully during those interactions. In interactions with management, R1's, care needs and expectations have been regularly discussed.

Staff are retaliating against resident for filing a complaint- LPAs based on interviews did not find evidence that staff have retaliated toward R1. R1 receives the care identified by respectful staff. There has been no disruption to the care of R1 or R1's dog. R1 is not being evicted. Any known disagreements between management, R1 or R1's family , regarding care, costs or expectations, have not impacted R1's care.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview with administrator.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025

LIC9099 (FAS) - (06/04)

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