315920243-3-13-2026-59-AS-TORZ-DSGS2S-20260324133001

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315920243
Report Date: 03/13/2026
Date Signed: 03/13/2026 02:31:41 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
09/19/2025 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20250919153853

FACILITY NAME:	ALL GRACE SENIOR CARE LLC		FACILITY NUMBER:	315920243
ADMINISTRATOR:	MARTIN, RAMSEY L		FACILITY TYPE:	740
ADDRESS:	208 WALPOLE COURT		TELEPHONE:	(916) 742-6496
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	6	CENSUS: 3	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Caregiver - Teddie Santiago		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff is sleeping during shifts
Staff did not administer medication as prescribed.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 03/13/2026 to complete and deliver findings to a complaint received on 09/19/2025. LPA met with Caregiver, Teddie Santiago and explained the purpose of the visit.

Throughout the course of the investigation, the department conducted interviews and record reviews.

Please continue to LIC9099C..

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

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 4

Control Number 59-AS-20250919153853

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: ALL GRACE SENIOR CARE LLC	FACILITY NUMBER: 315920243
	VISIT DATE: 03/13/2026

NARRATIVE

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Allegation: Staff is sleeping during shifts.

Based on interview statements obtained, there is insufficient and inconsistent information available. LPA received statements from R2 and R3 which indicated that they have not experienced staff sleeping during their shift. R1 stated staff were taking naps during the day, but could not remember the day or time this occurred. S1, S2, R2, and R3 all stated they have not experienced staff sleeping during their shift.

Allegation: Staff did not administer medication as prescribed.

LPA arrived at the facility on 09/23/2025 and conducted a medication count for R1, comparing the residents’ CSM and Medication Administration Record (MAR) with medications centrally stored for the residents. LPA observed no medications were refused. LPA observed medications given as prescribed. S1 provided documentation with R1’s doctor requesting a refill.

Based on this information, the allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.

Exit interview conducted and a copy of the report was emailed to Administrator.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
09/19/2025 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20250919153853

FACILITY NAME:	ALL GRACE SENIOR CARE LLC		FACILITY NUMBER:	315920243
ADMINISTRATOR:	MARTIN, RAMSEY L		FACILITY TYPE:	740
ADDRESS:	208 WALPOLE COURT		TELEPHONE:	(916) 742-6496
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95747
CAPACITY:	6	CENSUS: 3	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Caregiver - Teddie Santiago		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff yells at a resident in care.
Staff did not give a resident an admission agreement.

INVESTIGATION FINDINGS:

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Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 59-AS-20250919153853

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: ALL GRACE SENIOR CARE LLC	FACILITY NUMBER: 315920243
	VISIT DATE: 03/13/2026

NARRATIVE

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Allegation: Staff yells at a resident in care.

During the investigation LPA conducted interviews with staff and residents in care. In an interview with R2 and R3 both residents had stated they enjoyed living at the facility. R2 had stated they have never heard staff yelling at other residents in the facility. R3 stated that they have not heard any yelling throughout the facility by staff or by any other residents.

Allegation: Staff did not give a resident an admission agreement.

Based on records reviewed and interviews conducted, R1 did receive an Admission Agreement. On 09/23/2025 the Department observed a signed contract between R1 and the facility. Further, the Department was notified by R1 that they received the admission agreement when they moved into the facility.

Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of the report was emailed to Administrator.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4