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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920211
Report Date: 10/23/2025
Date Signed: 10/23/2025 03:39:09 PM

Unsubstantiated


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
08/28/2025 and conducted by Evaluator Kevin Mknelly
COMPLAINT CONTROL NUMBER: 59-AS-20250828085730
FACILITY NAME:MILLPORT VILLASFACILITY NUMBER:
315920211
ADMINISTRATOR:AREFA, NEGASHFACILITY TYPE:
740
ADDRESS:7641 MILLPORT DRIVETELEPHONE:
(916) 472-6669
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:6CENSUS: 5DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Caregiver/ designee TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff interacts with resident in an inappropriate manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/23/25, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with caregiver/ designee Scvonda Peters- Robertsaon.
LPA conducted records review and extensive interviews.
LPA is unable to find and or meet the preponderance, per policy.
Regarding staff interactions with R1, interviewes of R1 and caregivers found varying accounts of events. No other residents or impartial witnesses were identified nor stated similar concerns regarding staff interactions.
LPA reviewed shift notes and activity schedule sheets for R1. LPA requests copies of all shift and activity notes be copied to LPA by 10/27/25.
As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Exit interview with administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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
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
08/28/2025 and conducted by Evaluator Kevin Mknelly
COMPLAINT CONTROL NUMBER: 59-AS-20250828085730

FACILITY NAME:MILLPORT VILLASFACILITY NUMBER:
315920211
ADMINISTRATOR:AREFA, NEGASHFACILITY TYPE:
740
ADDRESS:7641 MILLPORT DRIVETELEPHONE:
(916) 472-6669
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:6CENSUS: 5DATE:
10/23/2025
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Caregiver/ designee TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/23/25 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with designee to deliver investigation findings.

LPA reviewed facility records, and conducted interviews.
LPA finds that facility met Tittle 22 requirements.
R1 received a lawful eviction notice for violations of house rules/ interactions with staff. Subsequently, the facility has also not received payment for residence fees. R1 continues to be a resident passed the 30 day notice while Licensee continues to facilitate a transfer to another facility.

This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.
Exit interview conducted and report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2