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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701336
Report Date: 03/23/2026
Date Signed: 03/23/2026 01:30:58 PM

Substantiated


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
12/30/2025 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20251230164715
FACILITY NAME:ELIXIR CARE HOMEFACILITY NUMBER:
342701336
ADMINISTRATOR:DULAY, MARIA GFACILITY TYPE:
740
ADDRESS:1440 HOOD ROADTELEPHONE:
(916) 565-1468
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:6CENSUS: 4DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Maria DulayTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Illegal eviction
INVESTIGATION FINDINGS:
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On 03-23-2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct a follow-up complaint investigation visit and deliver findings of the allegation noted above. LPA met with licensee/administrator, Maria Dulay, and stated the purpose of the visit.

The investigation into the above allegation consisted of record reviews.

On December 12, 2025, the Department received documents from the facility regarding the planned eviction of resident R1. After reviewing the information provided, it was determined that the facility did not follow Title 22 requirements for issuing an eviction notice.

On November 17, 2025, the facility issues an eviction notice via email to the responsible party. The documents included emails and letters from the administrator explaining that the resident’s care needs had increased, especially due to hygiene routines and long bathroom use, and that the facility wanted the resident moved out by December 31, 2025. The facility did not provide a formal written eviction notice as required by regulation. The materials sent were mostly emails and informal letters, which do not meet the legal standards for eviction.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 27-AS-20251230164715
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: ELIXIR CARE HOME
FACILITY NUMBER: 342701336
VISIT DATE: 03/23/2026
NARRATIVE
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Title 22 requires that a facility give a resident a 30-day written eviction notice that includes a clear and legal reason for eviction, the effective date, and information about the resident’s appeal rights. The notice must also be delivered to the resident, the responsible person, and the Licensing office. Some of these items were not included in the documents reviewed. The facility also did not provide an updated reappraisal, which is required when a resident’s needs have changed and the facility claims it can no longer meet those needs. The emails stated that staff were overwhelmed, and that the resident’s behaviors were difficult to manage, but the facility did not show proof that they completed a reappraisal or attempted interventions before deciding on eviction.

Additionally, Title 22 requires that when a facility believes a resident’s needs exceed what they can provide, they must document the steps they took to support the resident and must help the resident plan for relocation. The documents did not show any relocation planning, referrals to other facilities, or evidence of care-planning meetings meant to resolve the issues. The information sent also did not include any written house rules that the resident allegedly violated. Although the administrator mentioned concerns about long bathroom routines and water use, these behaviors were not tied to any written rules given to the resident at admission.

LPA Kimberly Viarella consulted with the licensee to update the eviction notice and reissue to R1 and their responsible party. The updated eviction notice was reissued to R1 on February 1, 2026.

Based on the review of all documents provided, it was determined that the facility did not issue a proper eviction notice and did not meet several Title 22 requirements related to eviction procedures. The materials submitted on December 12, 2025 do not meet the legal standards needed to proceed with an eviction, and the facility is not in compliance with Title 22 regulations. Therefore, the allegation was substantiated.

A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are cited on the 9099D during this visit.

Licensee was provided a copy of their rights (LIC9058) and their signature acknowledges receipt of these rights. An exit interview was conducted and a copy of this report and appeal rights were provided.

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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20251230164715
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: ELIXIR CARE HOME
FACILITY NUMBER: 342701336
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/30/2026
Section Cited
CCR
87224(a)
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Eviction Procedures
The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5)
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Prior to this visit, the licensee corrected the eviction notice and reissued the updated notice to the resident and their responsible party on February 1, 2026.
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This requirement is not met as evidenced by:
Based on review of the initial eviction notice submitted on 12/10/25, the facility did not issue a formal 30-day eviction notice. Additionally, the required components – including the legal reason, effective date, appeal rights, proper service to the resident, and reappraisals. This poses a potential health, safety and personal rights risks to person in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
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