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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701388
Report Date: 11/17/2025
Date Signed: 11/17/2025 11:41:08 AM

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
06/04/2025 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250604161942
FACILITY NAME:BALANCE ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
392701388
ADMINISTRATOR:RACHELLE REYESFACILITY TYPE:
740
ADDRESS:1321 S. FAIRMONT AVENUETELEPHONE:
(559) 313-8062
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:136CENSUS: 71DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:RACHELLE REYESTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility failed to supervise resdients resulting in sexual assault.
Facility failed to meet residents needs resulting in multiple falls and broken shoulder.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On11-17-2025, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to deliver findings for the complaint allegations noted above. LPA met with Administrator Rachelle Reyes and explained the purpose of the visit.
Allegation 1 Facility failed to supervise residents resulting in sexual assault
The department investigated the above allegation and determined the allegation to be UNFOUNDED based on interview with the R1 who denies the allegation occurred. Also, multiple staff interviews who did not report concerning behaviors between R1 and R2. Also, R2 had no recollection of who R1 was.

Allegation 2 Facility failed to meet residents’ needs resulting in multiple falls and broken shoulder. The department investigated the above allegation and determined the allegation to be UNFOUNDED. According to the allegation received, R# sustained multiple falls resulting in a broken shoulder however, during the course of the investigation it was determined resident R3 sustained a fracture which was located on her tibia. Therefore, the allegation is UNFOUNDED.
Note that an unfounded finding means that the allegation is false, could not have happened, and/or is without a reasonable basis.
Exit interview and copy of report given.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
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 2
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
06/04/2025 and conducted by Evaluator Kesha Lewis
COMPLAINT CONTROL NUMBER: 27-AS-20250604161942

FACILITY NAME:BALANCE ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
392701388
ADMINISTRATOR:RACHELLE REYESFACILITY TYPE:
740
ADDRESS:1321 S. FAIRMONT AVENUETELEPHONE:
(559) 313-8062
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:136CENSUS: 71DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:RACHELLE REYESTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/ lack of care and supervision resulted in resident sustaining multiple falls and a broken tibia.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Neglect/ lack of care and supervision resulted in resident R3 sustaining multiple falls and a broken tibia.

Allegation 3 Neglect/ lack of care and supervision resulted in resident sustaining multiple falls and a broken tibia. The department investigated the above allegation and determined the allegation to be UNSUBSTAINTIATED. Based on medical records reviewed on 5/28/2025, R3 was admitted toto the hospital for a chief complaint of bilateral leg pain due to a ground-level fall. Emergency Medical Services (EMS) reported facility staff stated R3 was sitting on their couch. When R3 attempted to slide over, they fell off the couch and landed on their buttocks. Computed Tomography (CT) imaging of R3'S left leg displayed a tibia fracture. Facility staff were interviewed and reported R3 was a fall risk and that fall prevention measures are in place, including placing R3 in a residential rehabilitation program, conducting frequent checks, and adding bed rails and a floor mat in their room. Facility clients were interviewed and did not express any concerns about their care. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2