347001241-12-9-2025-27-AS-SRIN-DQ2P6U-20260105100252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001241
Report Date: 12/09/2025
Date Signed: 12/09/2025 03:12:57 PM

Unfounded

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
12/03/2025 and conducted by Evaluator Christina Valerio

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20251203144403

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: 83	DATE:	12/09/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Alfredo Cruz		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff did not assist resident with obtaining medical care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a 10-Day Visit. LPA Valerio met with Administrator/Executive Director (ED) Alfredo Cruz, and explained the purpose of the visit. After conducting the complaint investigation, LPA Valerio delivered complaint findings.

It was alleged that the facility did not seek medical attention for Resident 1 (R1) and is refusing to contact the family regarding R1's medical condition.

LPA Valerio obtained and facility documentation for Resident 1 (R1) and Resident 2 (R2), facility records regarding communication with California Deparment of Publich Health (CDPH), and additional supportive documentation. The following has been determined as it relates to the aforementioned allegation.

Continues on LIC 9099 - C...

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2025

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 27-AS-20251203144403

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: 12/09/2025

NARRATIVE

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According to an interview with S1, the facility has taken a proactive approach with R1 and R2. Both residents did not get a skin scrape to confirm a diagnosis for scabies; however, they are underwent treatment for scabies based on their doctors orders. S1 stated the facility has been in constant communication with CDPH, CCL, and the resident's responsible party. S1 stated the facility has followed proper infection control protocols by having a PPE station in front of the resident's room, conducting an in-service with all staff regarding procedures, and following doctor and CDPH orders. S1 stated if they did not communicate with the POA, they would not have been able to successfully treat R1 and R2. S1 stated they have proof of communication with all necessary parties. S1 stated that the facility wanted to send R1 to the emergency room via Alpha One due to the rash on R1's arm spreading to other areas of R1. Alpha One assessed the resident and was going to take R1; however, R1 and the POA of R1 declined R1 to be taken. S1 provided LPA proof of the AMA along with correspondence with POA.

LPA Valerio interviewed R1's POA. The POA confirmed that the facility has been in constant communication with the POA and did not want R1 to be transported to the emergency room as it may expose R1 to additional risk. The POA stated that with Eskaton's prompt communication, they were able to get treatment for R1 within, if not less than, 24 hours of being notified. POA stated they are happy with the care Eskaton has provided to R1.

LPA Valerio reviewed facility documentation. LPA Valerio observed the facility received doctor's orders for R1 and R2. LPA Valerio reviewed the orders and copies of the Electronic Medication Administration Record. Records confirmed that staff provided medications based on doctors order for R1 on 12/03/25 and R2 on 12/04/25. LPA observed the facility conducted an in-service training with all staff on 12/03/2025 on the topic Scabies - Best Safety Practices + Prevention. LPA Valerio observed a record from Alpha One, a medical transportation company. The record shows the facility contacted Alpha One on 12/02/2025. LPA Valerio reviewed and confirmed that the facility has been in communication with CDPH and has followed CDPH's Prevention and Control of Scabies Guidance.

Based on the aforementioned information, the allegation is unfounded. A finding of unfounded means the allegation is false, could not have happened, or is without a reasonable basis. Per California Code of Regulations (CCR) - Title 22 - no deficiencies are being cited today. An exit interview was held with ED Alfredo Cruz, and copy of this report was provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2025

LIC9099 (FAS) - (06/04)

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