317005468-6-4-2026-59-AS-LMUZ-DV4THL-20260616144451

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317005468
Report Date: 06/04/2026
Date Signed: 06/04/2026 12:45:23 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
06/01/2026 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 59-AS-20260601121700

FACILITY NAME:	BROOKDALE AUBURN		FACILITY NUMBER:	317005468
ADMINISTRATOR:	MALISSA ACUNA		FACILITY TYPE:	740
ADDRESS:	11550 EDUCATION ST		TELEPHONE:	(530) 888-8847
CITY:	AUBURN	STATE: CA	ZIP CODE:	95602
CAPACITY:	110	CENSUS: 86	DATE:	06/04/2026
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Malissa Acuna		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff do not ensure the facility is properly maintained

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced to open the investigation and deliver findings into allegation listed above. LPA met with Executive Director Malissa Acuna,during today’s visit.

During today's inspection LPA conducted interviews, toured the facility and reviewed records pertinent to the investigation.

** Report continued on 9099-C page

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

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-20260601121700

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: BROOKDALE AUBURN	FACILITY NUMBER: 317005468
	VISIT DATE: 06/04/2026

NARRATIVE

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Staff do not ensure the facility is properly maintained
Records reviewed indicated that weekly and monthly checks on the fire system are conducted within the building. Interviews conducted indicated that monthly fire drills are conducted with staff to ensure staff know what to do in case of emergency. Staff radios are utilized for every staff with every shift and are checked monthly to ensure that all radios are working and connected to the system. Observations indicated that the fire panel is labeled and no hazards were seen around or on the panel.
The overall building is within standards of operating per Department standards. Observations indicated resident rooms are properly furnished with appropriate bedding and lighting and bathrooms are operational. Common areas are clean and accessible to residents and kitchen meets Department standards.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Executive Director. Copy of report was given to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026

LIC9099 (FAS) - (06/04)

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