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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315920223
Report Date: 12/16/2025
Date Signed: 12/16/2025 11:15:32 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, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2025 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20251201134500
FACILITY NAME:CARING HEART RESIDENTIALFACILITY NUMBER:
315920223
ADMINISTRATOR:ABUREKHANLEN, ELOMENSEFACILITY TYPE:
740
ADDRESS:4032 NEWMARKET ST.TELEPHONE:
(916) 841-5941
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 5DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Elomense Aburekhanlen, AdministratorTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Staff withheld resident's mail.
Facility staff forced care on resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint investigation. LPA spoke to administrator on the phone during today’s inspection.

LPA investigated allegation, “Facility staff forced care on resident”. Reporting party indicated care staff are forcing R1 to shower and forced R1 to take the flu shot. LPA interviewed administrator in which she stated resident has only lived at the facility for 1 week. Administrator stated no flu shot was provided at the facility and that she encouraged resident to shower but did not force care on him. LPA interviewed R1 in which they stated the hospital staff encouraged him to take the flu shot but he consented. R1 stated facility staff encouraged him to take a shower but did not force him. R1 stated he has memory impairment and resident gets facilities mixed up. Due to the information gathered LPA finds allegation to be UNFOUNDED.

Continuation on 9099-C.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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-20251201134500
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: CARING HEART RESIDENTIAL
FACILITY NUMBER: 315920223
VISIT DATE: 12/16/2025
NARRATIVE
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LPA investigated allegation, “Staff withheld resident’s mail”. Reporting party indicated that facility took R1’s mail from him. LPA interviewed administrator in which she stated R1 moved into the facility 1 week ago. Administrator stated R1 has received 1 piece of mail since moving in and staff gave resident that mail. LPA interviewed R1 in which he stated he is waiting to receive financial documents in the mail. R1 stated he has memory impairment and gets past facilities mixed up. R1 stated past facilities have stolen from him but the current facility has not taken anything. Due to the information gathered LPA finds allegation to be UNFOUNDED.

Exit interview conducted and copy of report provided.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2