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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002935
Report Date: 09/13/2023
Date Signed: 09/13/2023 12:04:59 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/14/2023 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20230714134300
FACILITY NAME:TRINITY HOME FOR SENIORFACILITY NUMBER:
315002935
ADMINISTRATOR:CADORNA, JULIUSFACILITY TYPE:
740
ADDRESS:5405 SAGE CTTELEPHONE:
(916) 251-7689
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:6CENSUS: 0DATE:
09/13/2023
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Julius and Rosemarie Cadorna, AdministratorsTIME COMPLETED:
12:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff financially abused resident
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Bethany Mirlohi arrived at the facility to deliver complaint findings. LPA met with Julius and Rosemarie Cadorna during today’s visit. Currently there are no residents living within the facility.
LPA investigated allegations of “Personal Rights” and “Staff financially abused resident”. LPA conducted interviews and record reviews. During the investigation, LPA found that the resident (R1) involved with the allegations moved out of the home in February 2023. Trinity Home For Senior was licensed on 3/21/23. R1 did not reside in the home when Trinity Home For Senior was licensed and took over. Therefore allegations are UNFOUNDED.

Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
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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