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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 312700212
Report Date: 02/18/2026
Date Signed: 02/18/2026 02:52:44 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
09/09/2025 and conducted by Evaluator Graham Gunby
COMPLAINT CONTROL NUMBER: 59-AS-20250909171014
FACILITY NAME:ROCK CREEK SENIOR CAREFACILITY NUMBER:
312700212
ADMINISTRATOR:BALINT, PAVELFACILITY TYPE:
740
ADDRESS:6408 MENDEZ CREEK CTTELEPHONE:
(916) 899-6298
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:6CENSUS: 3DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator - Carmen BalintTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff physically assulted a resident causing injury resulting in hospitalization
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 02/18/2026 to complete and deliver findings to a complaint received on 09/09/2025. LPA met with Administrator, Carmen Balint and explained the purpose of the visit.

Throughout the course of the investigation, the department conducted interviews and record reviews.

Please continue to LIC9099C..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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 4
Control Number 59-AS-20250909171014
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: ROCK CREEK SENIOR CARE
FACILITY NUMBER: 312700212
VISIT DATE: 02/18/2026
NARRATIVE
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Allegation: Staff physically assulted a resident causing injury resulting in hospitalization

On 09/06/2025, R1 was admitted to Sutter Roseville Medical Center for complaint of left foot pain. An MRI confirmed moderate second proximal phalangeal bone marrow edema and severe second phalangeal bone marrow edema suspicious for osteomyelitis. Doctors subsequently amputated R1’s left index toe. R1 reported that a caregiver, S2, intentionally hit the toe with a standing lift. No other information contained in the medical records indicates that R1’s toe wound resulted from an intentional impact with an object like a standing lift. Historically, R1 suffered from foot cellulitis related to their diabetes diagnosis. Prior to their hospitalization, R1 received regular wound care treatment from InnovAge for various preexisting pressure wounds to their left foot. There was no indication of a left index toe injury until 04/22/2025 when redness was observed on the top of R1’s left index toe; however, the toe injury was not concerning until an open wound was observed on 08/14/2025. S2 denied the allegation to the Rocklin Police Department and the Investigations Branch and stated that R1 often threatened to have them terminated. On 09/04/2025, S2 told facility Administration that R1 threatened to report them and tell lies that would “spread like wildfire.” S2 subsequently documented the interaction in a handwritten letter. No other residents reported similar allegations against S2. R2 claimed to have been close with R1 and R1 expressed their frustrations related to the facility. R2 indicated that R1 never mentioned any physical abuse by S2 or another caregiver.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation 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 conducted and report provided.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
09/09/2025 and conducted by Evaluator Graham Gunby
COMPLAINT CONTROL NUMBER: 59-AS-20250909171014

FACILITY NAME:ROCK CREEK SENIOR CAREFACILITY NUMBER:
312700212
ADMINISTRATOR:BALINT, PAVELFACILITY TYPE:
740
ADDRESS:6408 MENDEZ CREEK CTTELEPHONE:
(916) 899-6298
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:6CENSUS: 3DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator - Carmen BalintTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff verbally abusing resident
Facility failed to meet reporting requirements
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
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9
10
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12
13
Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 02/18/2026 to complete and deliver findings to a complaint received on 09/09/2025. LPA met with Administrator, Carmen Balint, and explained the purpose of the visit.

Throughout the course of the investigation, the department conducted interviews and record reviews.

Please continue to LIC9099C..
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 59-AS-20250909171014
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: ROCK CREEK SENIOR CARE
FACILITY NUMBER: 312700212
VISIT DATE: 02/18/2026
NARRATIVE
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Allegation: Staff verbally abusing resident

Interview conducted with staff member S1 indicated that staff members haven’t been heard being verbally abusive towards residents in care. R2 indicated that there are times when they have to elevate their voices due to residents not being able to hear (due to hearing loss) or understand the staff correctly. Interviews with R2 indicated that staff are helpful at all times and have not heard any staff verbally abusing residents in care.

Allegation: Facility failed to meet reporting requirements

LPA interviewed staff and reviewed facility information. Through interviews S1 stated when an incident occurs the staff writes a report and then sends the information to management. The management team reviews the information and creates an incident report. Administrator stated if needed they will send incident report into CCL. LPA reviewed incident reports sent into CCL and found facility is sending in incident reports throughout the year on incidents that have occurred with residents in care.

The allegation is UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. Copy of report provided to Administrator.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4