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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920036
Report Date: 08/27/2025
Date Signed: 08/27/2025 10:17:05 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
08/01/2025 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20250801122227
FACILITY NAME:ASPEN MEADOWS CARE HOME BY RNSFACILITY NUMBER:
315920036
ADMINISTRATOR:PATAWARAN, YASSERFACILITY TYPE:
740
ADDRESS:531 ASPEN MEADOWS WAYTELEPHONE:
(916) 409-5620
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:6CENSUS: 5DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Yasser Patawaran, AdministratorTIME COMPLETED:
10:35 AM
ALLEGATION(S):
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Staff did not assist resident with care needs in a timely manner.
Staff recorded resident without consent.
INVESTIGATION FINDINGS:
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Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Administrator Yasser Patawaran to deliver findings for the above complaint allegations.

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: 10
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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-20250801122227
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: ASPEN MEADOWS CARE HOME BY RNS
FACILITY NUMBER: 315920036
VISIT DATE: 08/27/2025
NARRATIVE
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Staff did not assist resident with care needs in a timely manner

Interviews conducted with Resident R1 indicated that they feel staff are not attending to calls for assistance. Observations indicated that residents are being monitored by care staff while in their individual rooms and in common areas. Staff were observed to checking on residents and listening for residents in case of needed assistance. Observations indicated staff assisting residents to and from their rooms for meals, outside to sit, with meal times, and to the restroom as needed or requested. Records reviewed indicated that staff are following proper procedures for residents in care. Staff are assisting residents in care according to their care plans. Records reviewed indicated what each resident need was and how the facility staff can assist in care. Therefore, the allegation staff did not assist resident with care needs in a timely manner is unfounded.

Staff recorded resident without consent

Interviews conducted with Resident R1 indicated that they feel that the dash camera in the vehicle which is parked in the garage is recording them. Interviews with administrator indicate that the device in the vehicle is used while driving only and does not record any part of the facility or residents who reside in the facility. Observations indicated that there are no visible cameras or recording devices in the facility in the hallways or common areas. Records reviewed indicated that facility does not have any consent forms on file for residents in care regarding records devices in the home and there is nothing listed in the admission agreement which would indicate the use of cameras or recording devices in the facility. Therefore the allegation staff recorded resident without consent is unfounded.

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: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2