315920036-10-3-2025-59-AS-MSEY-DM8LY6-20251007090950

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315920036
Report Date: 10/03/2025
Date Signed: 10/03/2025 03:00:16 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
09/05/2025 and conducted by Evaluator Melissa Parks

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20250905083356

FACILITY NAME:	ASPEN MEADOWS CARE HOME BY RNS		FACILITY NUMBER:	315920036
ADMINISTRATOR:	PATAWARAN, YASSER		FACILITY TYPE:	740
ADDRESS:	531 ASPEN MEADOWS WAY		TELEPHONE:	(916) 409-5620
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY:	6	CENSUS: 5	DATE:	10/03/2025
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Yas Patawaran		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff does not ensure food served to residents is of good quality
Staff do not ensure food is stored properly at the correct temperatures
Staff do not ensure food sanitation practices are followed
Staff do not prevent residents’ personal food items from being taken by other persons in the facility
Staff does not ensure residents is spoken to in an appropriate manner
Staff does not ensure medications are properly managed
Staff do not ensure the facility is kept free of pests

INVESTIGATION FINDINGS:

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LPA Parks arrived on Friday October 3, 2025, to deliver findings for a complaint investigation regarding the above allegations.

Throughout the course of the investigation, LPA interviewed the reporting party, R1-R3, staff, and the Administrator. LPA reviewed the following documents: pest control contract and invoices, and R1's paperwork including admission agreement and care plan. LPA reviewed the facility’s current supply of perishable and nonperishable foods. LPA observed the refrigerator and freezer’s temperature. Additionally, LPA toured the facility for any signs of pests.

LPA learned the following:
Allegation: Staff does not ensure food served to residents is of good quality
LPA observed and photographed the facility’s perishable and nonperishable food. LPA observed the refrigerator to be filled with fresh produce, fruit, and food. The freezer contained a variety of frozen foods. There was fresh fruit on the counter. Additionally, LPA learned that the facility shops for its food every

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

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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Control Number 59-AS-20250905083356

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: 10/03/2025

NARRATIVE

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week on Wednesdays (LPA made the initial complaint visit on a Tuesday). Furthermore, LPA obtained the week’s grocery shopping list which showed a mixture of fresh produce and processed foods. LPA interviewed R2 and R3 who both stated that they enjoyed the food and had no complaints.

Allegation: Staff do not ensure food is stored properly at the correct temperatures
LPA observed that the refrigerator and freezer had built in thermometers. LPA observed and photographed the refrigerator temperature at 37 degrees and the freezer at 0 degrees. These temperatures are within the required range.

Allegation: Staff do not ensure food sanitation practices are followed
LPA interviewed staff who stated that they always change their gloves between tasks and residents. No staff interviews acknowledged leaving food out for an extended period of time or witnessing other staff doing so. LPA did not observe any perishable food on the counter during visits. Additionally, LPA observed leftover food in the refrigerator, covered, and dated.

Allegation: Staff do not prevent residents’ personal food items from being taken by other people in the facility
LPA interviewed staff who stated that R1 would share their food with other residents at the facility. Additionally, there are residents at the facility with cognitive impairment who would not be aware they are eating a resident’s personal food. The food in the kitchen is unlocked, therefore available to all residents. Additionally, no staff acknowledged eating any food belonging to a resident.

Allegation: Staff does not ensure residents is spoken to in an appropriate manner
LPA interviewed R2 and R3. Neither of the residents had any instances of staff speaking inappropriately to them. Additionally, staff interviewed stated they speak respectfully to all residents.

Allegation: Staff does not ensure medications are properly managed
LPA reviewed medication administration records (MARs) for each resident. MARs matched current doctors orders. LPA interviewed R2 and R3 who stated that they have not had instances of their medications being mismanaged.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20250905083356

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: 10/03/2025

NARRATIVE

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Allegation: Staff do not ensure the facility is kept free of pests
LPA toured the facility and found no evidence of pests. LPA observed and photographed two sticky traps which showed no evidence of pests. LPA obtained the facility’s contract with a local pest control company which shows the facility receives monthly service. Additionally, LPA interviewed R2 and R3 who had no complaints of pests inside the facility. Staff interviews did not reveal any concerns about pests.

Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. A copy of this report was left at the facility.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

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