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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002947
Report Date: 01/21/2026
Date Signed: 01/21/2026 10:46:02 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, 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
09/24/2025 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 59-AS-20250924102408
FACILITY NAME:J & H CARE HOMESFACILITY NUMBER:
345002947
ADMINISTRATOR:SALMAN, RASHAFACILITY TYPE:
740
ADDRESS:8529 ARROWROOT CIRCLETELEPHONE:
(916) 905-8038
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:6CENSUS: 6DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rasha SalmanTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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9
Resident sustained pressure injury due to staff neglect
Staff did not seek medical attention for resident
Staff is overmedicating resident
Staff are falsifying incident reports
INVESTIGATION FINDINGS:
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On 01/21/2026 Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings of the complaint received on 09/24/2025. LPA met with Administrator Rasha Salman and explained the purpose of the visit.

During today's visit, LPM and LPA reviewed documents, conducted a medication audit and toured the facility.

Please continue to LIC9099C...
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
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 3
Control Number 59-AS-20250924102408
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: J & H CARE HOMES
FACILITY NUMBER: 345002947
VISIT DATE: 01/21/2026
NARRATIVE
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Allegation: Resident sustained pressure injury due to staff neglect- Unfounded
LPA and LPM reviewed records and conducted interview and found no evidence that residents sustained pressure injury due to staff neglect.

Allegation: Staff did not seek medical attention for resident- Unfounded
LPA and LPM reviewed records and conducted interview. Hospital discharge papers were reviewed found that the facility sought medical attention for R1 and R2 when medical attention was needed.

Allegation: Staff is over medicating resident- Unfounded
LPA and LPM reviewed records and conducted a medication audit and found no evidence that staff is over medicating residents. Medications are accounted for without discrepancy.

Allegation: Staff are falsifying incident reports- Unfounded
LPA and LPM reviewed records found the facility is reporting incidents as required. There is no evidence that staff are falsifying incident reports submitted to the Department.

Based on information obtained through interviews, the Department finds the allegations to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.  

Exit interview conducted and a copy of the report was left at the facility. 
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
09/24/2025 and conducted by Evaluator Cheyenne Ratajczak
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250924102408

FACILITY NAME:J & H CARE HOMESFACILITY NUMBER:
345002947
ADMINISTRATOR:SALMAN, RASHAFACILITY TYPE:
740
ADDRESS:8529 ARROWROOT CIRCLETELEPHONE:
(916) 905-8038
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:6CENSUS: 6DATE:
01/21/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rasha SalmanTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is mismanaging resident's medication
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01/21/2026 Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings of the complaint received on 09/24/2025. LPA met with Administrator Rasha Salman and explained the purpose of the visit.

During today's visit, LPM and LPA reviewed documents, conducted a medication audit and toured the facility.

Based on medication audit, the facility is pre-pouring medications for 7 days in advance. There is no evidence that staff are mismanaging residents medications however based on TItle 22, Section 87465(h)(5), "Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers". The Department will be issuing a technical violation for the prepouring of medication. Based upon the information obtained during investigation, the above allegation is 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 conducted a copy of the report and appeal rights were left at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
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 3