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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002812
Report Date: 04/02/2025
Date Signed: 04/02/2025 08:53:08 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
01/24/2025 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 59-AS-20250124130413
FACILITY NAME:BLESSED HOMECARE 2 ROSEVILLEFACILITY NUMBER:
315002812
ADMINISTRATOR:ARGANA, FERDINANDFACILITY TYPE:
740
ADDRESS:4100 SHORTHORN WAYTELEPHONE:
(209) 834-4040
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 5DATE:
04/02/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Baby Quintero, LicenseeTIME COMPLETED:
08:55 AM
ALLEGATION(S):
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Staff are physically abusing residents in care
Staff are financially abusing residents in care
Staff do not allow residents access to phone
Staff do not allow residents access to their doctors
INVESTIGATION FINDINGS:
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On 04/02/2025, Licensing Program Analyst (LPA) Cheyenne Ratajczak and Cassandra Mikkelson arrived at the facility unannounced to deliver final findings to a complaint Community Care Licensing (CCL) received on 01/24/2025. LPA met with Licensee Baby Quintero and explained the purpose of the visit.

During the course of the investigation, the Department conducted interviews and record review.

Please continue to LIC9099-C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
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-20250124130413
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: BLESSED HOMECARE 2 ROSEVILLE
FACILITY NUMBER: 315002812
VISIT DATE: 04/02/2025
NARRATIVE
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Staff are physically abusing residents in care- Unfounded  
Staff are financially abusing residents in care- Unfounded  
During the investigation it was learned that R1 has behaviors of alleging false claims. Based on information obtain and interviews conducted, there is no evidence that R1 was physically or financially abused by staff at this home. The department was unable to interview R1 due to cognitive decline. 

Staff do not allow residents access to phone-Unfounded  
During facility visit on 03/11/2025 LPA and Licensee tested the facility phone. Facility does have a working phone, and residents have access to it whenever they may need it. During an interview with Licensee, they stated that residents do not use the phone often due to their families being so involved and are at the facility often. LPA attempted interviews with residents but due to cognitive impairment of the residents, LPA was unable to interview residents. 

Staff do not allow residents access to their doctors-Unfounded  
During an interview with Licensee, it was revealed that most of the residents have family that are involved and do the communications with their doctors. Facility will let the family know if there is a change in resident’s condition. R1 is the only resident that does need assistances when it comes to the doctors. Licensee will assist with scheduling the appointments. Additionally, Licensee provide LPA with R1s upcoming appointments. LPA attempted interviews with residents but due to cognitive impairment of the residents LPA was unable to interview residents. 

Based on information obtained through interviews, the Department finds the allegation to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.  

Exit interview conducted and a copy of the report and appeal rights were left at the facility. 
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2