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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920036
Report Date: 10/03/2025
Date Signed: 10/03/2025 02:52:51 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
08/21/2025 and conducted by Evaluator Melissa Parks
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250821153043
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: 4DATE:
10/03/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Yas PatawaranTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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9
Staff do not provide resident with respect of his personal privacy and property
Staff retaliated against resident for filing complaints on the facility.
INVESTIGATION FINDINGS:
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5
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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 learned the following:

Allegation: Staff do not provide resident with respect of his personal privacy and property
LPA interviewed staff who stated that they only went into R1’s room when it was time for weekly cleaning. Once R1 became upset, they stopped going into R1’s room. R1 does not receive any assistance with ADLs, therefore staff do not go into their room.

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)
Page: 1 of 2
Control Number 59-AS-20250821153043
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 retaliated against resident for filing complaints on the facility.
LPA interviewed S1 – S4 who stated that they treat all residents with respect. R2 and R3 had not witnessed staff treating any residents inappropriate or differently.

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)
Page: 2 of 2