347001241-7-8-2025-27-AS-KHOS-DJFJTN-20250710072013

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001241
Report Date: 07/08/2025
Date Signed: 07/08/2025 01:04:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
06/13/2025 and conducted by Evaluator Vincent Moleski

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250613092654

FACILITY NAME:	ESKATON GOLD RIVER LODGE		FACILITY NUMBER:	347001241
ADMINISTRATOR:	ALFREDO CRUZ		FACILITY TYPE:	740
ADDRESS:	11390 COLOMA RD		TELEPHONE:	(916) 852-7900
CITY:	GOLD RIVER	STATE: CA	ZIP CODE:	95670
CAPACITY:	134	CENSUS: 84	DATE:	07/08/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Alfredo Cruz		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff are not following facility's activity schedule.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to follow up on this complaint investigation. LPA Moleski met with facility administrator Alfredo Cruz and explained the purpose of the visit.

This investigation consisted of interviews and record review. LPA Moleski interviewed Cruz, four activities staff members (S1-S4), and four residents (R1-R4).

LPA Moleski reviewed outing calendars for the months of April, May and June for assisted living, Day Spring (pre-memory care), and memory care. LPA Moleski observed approximately three to five outings scheduled per month for each group. LPA Moleski reviewed sign-up sheets and attendance logs for these outings.

In an interview, the facility's activities director (S1) said that there are times when the facility's scheduled outings are altered. S1 said that, for example, a recent outing scheduled to Baskin Robbins had to be altered last minute. [continued on 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025

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 3

Control Number 27-AS-20250613092654

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ESKATON GOLD RIVER LODGE	FACILITY NUMBER: 347001241
	VISIT DATE: 07/08/2025

NARRATIVE

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S1 said the ice cream shop was completely packed, and it was not safe to try to assist residents inside. S1 said that residents were taken to a neighboring McDonald's to get ice cream instead. LPA Moleski observed that this trip to Baskin Robbins was scheduled for memory care and Day Spring on June 10. The facility's primary driver to and from outings, S4, said that residents were waiting for over 30 minutes to get a table at the Baskin Robbins on that date due to the long line. S4 said it was also very hot that day, and residents were getting agitated, so they went next door so residents could get their ice cream quicker. LPA Moleski interviewed two Day Spring residents who were listed as attendees on the outing attendance log. (R1-R2). R1 could not remember the outing, but said they had not experienced any last minute changes. R2 did not understand questions pertaining to outings and did not seem oriented to their current location.

S4 also said that plans were altered for an outing scheduled for assisted living assisted living residents for the California Museum on May 29. S4 said when they arrived at the museum, there was no parking available nearby, and the residents would have to walk too far to get to the museum. S4 said that they went to Cold Stone Creamery instead. S4 said that a resident in attendance had suggested they go for ice cream, although S4 could not remember who. LPA Moleski interviewed two residents whose names were listed on a receipt from Cold Stone (R3-R4). R3 did not remember going on the outing, but said that they have gone on outings and do not experience last minute changes to planned outing destinations. When asked about this outing, R4 said that they could not remember the details, but they remembered they had to go somewhere else. R4 said that changes to the outings calendar are made only when necessary. Both R3 and R4 voiced satisfaction with this facility's outings program.

LPA Moleski interviewed two other activities staff who sometimes drive residents to and from outings (S2-S3) and they were not aware of any other alterations to the planned outing calendars. Both S1 and S4 said that changes are made only when necessary due to emergent conditions.

LPA Moleski reviewed GPS location data from the outings planned for the months of April, May and June, plus interior surveillance camera phots showing parking locations. LPA Moleski did observe a memory care picnic scheduled for Black Miner's Bar was relocated to nearby Hagan Park on May 13, based on GPS location data. S4, the driver on this outing, said that they were not aware that Black Miner's Bar would charge them for entrance, so they did not have the company card to pay. S4 said they still wanted to give the residents a picnic experience, so they brought them to Hagan Park instead. [continued on 9099-C]

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250613092654

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ESKATON GOLD RIVER LODGE	FACILITY NUMBER: 347001241
	VISIT DATE: 07/08/2025

NARRATIVE

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Two days later, on May 15, a picnic was scheduled with assisted living and Day Spring for Black Miner's Bar. GPS data shows that this destination was visited as planned. S4 said they knew after their prior trip they would have to pay for entrance. LPA Moleski did not observe additional significant deviations in outing destinations based on GPS data except as already described above.

Title 22 of the California Code of Regulations Section 87219 requires this facility to have a written program of activities which shall be "planned in advance, kept up-to-date, and made available to all residents." This requires that activities be pre-planned, but should not preclude minor changes in the actual execution of activities which may necessary to preserve the health and safety of clients in care or otherwise necessary due to extenuating circumstances. Additionally, residents have the right to safe and comfortable accommodations per 22 CCR Section 87468.1(a)(2) and other reasonable accommodations per Section 87468.2(a)(14). The changes made to planned activities as described above appear reasonable based on the circumstances and do not appear to infringe upon the rights of residents.

The department has determined the following as it relates to the allegation that staff are not following facility's activity schedule:

Based on interviews and record review, the above allegation is UNSUBSTANTIATED, which means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred.

No deficiencies were cited regarding the above allegation. An exit interview was held and a copy of this report was left with Cruz.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025

LIC9099 (FAS) - (06/04)

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