315920024-4-7-2026-59-AS-TORZ-DT5VNV-20260414163546

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315920024
Report Date: 04/07/2026
Date Signed: 04/07/2026 05:19:42 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, 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
04/06/2026 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20260406120723

FACILITY NAME:	LOTUS VILLA CARE HOME		FACILITY NUMBER:	315920024
ADMINISTRATOR:	KAUR, KULWINDER		FACILITY TYPE:	740
ADDRESS:	5025 CANNING WAY		TELEPHONE:	(916) 807-4690
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	6	CENSUS: 4	DATE:	04/07/2026
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:			TIME COMPLETED:	05:25 PM

ALLEGATION(S):

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Facility staff does not have the required training

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced complaint visit.

LPA observed there is a pending application for this facility. LPA reviewed staff records. Per Title 22 Regulations, criminal record clearance shall be obtained for each staff and be associated to the facility prior to working at the facility. LPA reviewed criminal record clearances for staff and observed they are cleared and associated to a different facility. Because the staff do have criimal record clearance the allegation is unfounded.
LPA reviewed staff training. The staff do have staff training or they are in the process of getting the training.

Based on information above, the department concluded that the allegations are Unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.
no deficiencies cited.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

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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