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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 312700265
Report Date: 07/17/2025
Date Signed: 07/17/2025 11:36:02 AM

Unfounded


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
06/30/2025 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20250630125556
FACILITY NAME:OASIS FOR SENIORS AT HEAVEN'S GARDENFACILITY NUMBER:
312700265
ADMINISTRATOR:TODEREAN, ADELAFACILITY TYPE:
740
ADDRESS:6203 TWO TOWERS COURTTELEPHONE:
(916) 781-9179
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:6CENSUS: 6DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Adela Toderean, AdministratorTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Facility staff failed to assist in arranging medical care
INVESTIGATION FINDINGS:
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Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Administrator Adela Toderean to deliver findings for the above complaint allegation.

During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

*** Report continued on 9099-C***
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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-20250630125556
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: OASIS FOR SENIORS AT HEAVEN'S GARDEN
FACILITY NUMBER: 312700265
VISIT DATE: 07/17/2025
NARRATIVE
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Facility staff failed to assist in arranging medical care

Interviews conducted indicated that facility staff and Licensee provided assistance with arranging medical care for Resident R1. Facility staff continuously check on R1 and when R1 is in distress or having pains, staff will call emergency services for R1 to be evaluated. On June 22, 2025, emergency services were called by R1 on their own (R1 has their own personal cell phone). R1 did not inform any staff that they were in pain or needed emergency services called. When the fire department (FD) arrived, facility staff were confused and told FD that they might have the wrong address as the staff did not know R1 had called for services. Facility staff and emergency services were able to figure out that R1 had called and emergency services took R1 to hospital for evaluation. R1 told hospital staff that they did not want to be alone which is why they called emergency services (R1 has a history of calling emergency services in the evenings/night time due to being lonely).

Records reviewed indicated that facility staff called emergency services for R1 when needed or asked. Discharge notes from hospital dated June 10, 2025, June 22, 2025, and June 30, 2025 all indicate that R1 returned with no new orders regarding physical health or issues. LPA reviewed incident reports from facility dated 6/15/2025, 06/23/2025, 07/01/2025 which indicated that facility assisted R1 with arranging medical care.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
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