502701313-4-13-2026-27-AS-LRIS-DTFMEF-20260424093241

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502701313
Report Date: 04/13/2026
Date Signed: 04/13/2026 02:04:22 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
03/13/2026 and conducted by Evaluator Arielle Pascua

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20260313145900

FACILITY NAME:	MORNING STAR CARE HOME		FACILITY NUMBER:	502701313
ADMINISTRATOR:	GOREAL, KALVEN		FACILITY TYPE:	740
ADDRESS:	3408 GATEWOOD DRIVE		TELEPHONE:	(209) 595-8534
CITY:	MODESTO	STATE: CA	ZIP CODE:	95355
CAPACITY:	6	CENSUS: 3	DATE:	04/13/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Kalvean Goreal		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Due to staff neglect, resident died

INVESTIGATION FINDINGS:

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On 04/13/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings for the allegation above. LPA Pascua met with Facility Designated Administrator (FDA), Kalven Goreal and explained the purpose of the visit.

Current census was 4. A brief interview with FDA Goreal was conducted.

It was alleged that due to staff neglect a resident died. During the course of this investigation, the department conducted interviews and reviewed facility records. Based on interviews conduced it was learned that R1 was admitted to hospice services due to a decline in health. R1 was obtaining hospice services for the months of February-March 2026 to be seen once a week.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

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-20260313145900

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: MORNING STAR CARE HOME	FACILITY NUMBER: 502701313
	VISIT DATE: 04/13/2026

NARRATIVE

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Furthermore, it was stated that R1 was declining in health such as reduced food intake from minimal to zero two weeks prior to the residents death. During this time hospice services increased their visits from once a week to twice a week. An interview with facility staff was conducted, it was denied by 3 facility staff that the facility neglected the resident resulting in their death. In addition, it was stated that there were no concerns regarding the residents while obtaining hospice services. Based on the information gathered, there is not sufficient information to prove that due to staff neglect the resident died.

Based on statements obtained, records review and observations during the investigation process, LPA was unable to corroborate the allegations. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.

An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC9099 (FAS) - (06/04)

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