<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700012
Report Date: 03/20/2026
Date Signed: 03/20/2026 06:45:38 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
01/13/2026 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20260113121743
FACILITY NAME:TWIN RIVERS AT NATOMASFACILITY NUMBER:
342700012
ADMINISTRATOR:SITA VADAREVUFACILITY TYPE:
740
ADDRESS:421 SAN JUAN ROADTELEPHONE:
(916) 216-3058
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:48CENSUS: 41DATE:
03/20/2026
UNANNOUNCEDTIME BEGAN:
06:30 PM
MET WITH:Rosa LesuiTIME COMPLETED:
06:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member engaged in inappropriate activity with resident in care.
Staff mismanage residents' medications.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to deliver the findings for the allegations cited above. LPA met with Assistant Administrator and explained the purpose of the visit.
For allegation of Staff member engaged in inappropriate activity with resident in care, based on interview conducted with resident (R1) it revealed that R1 did text staff (S1) outside of work hours but it was not sexual. R1 then deleted most of the text messages as advised by S1. R1 was adamant the relationship was platonic. Based on the text messages LPA observed from R1's phone, it revealed that S1 was texting R1 good night along with emojis.
For allegation of Staff mismanage residents' medications, based on interviews conducted with medication technicians, it revealed that part of the policy is to confirm that residents consumed the medication before leaving the room. Interview with MT1 and MT3 revealed there was times where residents did not have enough water where they had to leave the room to retrieve water pitcher from the medication cart. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. Exit interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
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 1