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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002859
Report Date: 04/28/2026
Date Signed: 04/28/2026 01:01:01 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
09/16/2025 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250916091855
FACILITY NAME:MOAIFACILITY NUMBER:
345002859
ADMINISTRATOR:FOWLER, CRAIG M.FACILITY TYPE:
740
ADDRESS:2633 CARDINAL COURTTELEPHONE:
(916) 844-5250
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:5CENSUS: 0DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Craig Fowler, AdministratorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff spoke to resident in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Craig M. Fowler, to deliver findings regarding the complaint allegation listed above.

During the investigation, LPA conducted interviews and toured the premises. The results of the investigation are as follows:

Allegation: Staff spoke to resident in an inappropriate manner.

Relevant party reported that to the Department concerns regarding how Administrator communicates with resident (R1), including witnessing Administrator yelling at R1.

** Report continued on 9099-C **
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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 7
Control Number 59-AS-20250916091855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MOAI
FACILITY NUMBER: 345002859
VISIT DATE: 04/28/2026
NARRATIVE
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Interviews with staff member (S1) and residents R1 and R2 indicated that they have witnessed staff speak in an inappropriate manner with R1. R1 stated that Administrator and staff member (S2) yelled at them. R1 stated that Administrator did not treat them with dignity and respect. R1 stated that there have been multiple incidents in which Administrator become “enraged.” R1 stated that Administrator has gotten in their face and screamed at the top of their lungs, causing spit to get on their face. R1 stated that they have cried all night because of the way they have been treated by Administrator. S1 stated that facility staff treated R1 “terribly.” S1 stated that they heard that S2 yelled at R1 to get out of the house. R2 stated that they heard staff talk inappropriately to R1 while their bedroom shared a wall with R1's bedroom. R2 stated that Administrator spoke inappropriately to R1 and did not treat R1 with dignity and respect. During interview conducted with Administrator, LPA observed a recording initiated by Administrator in which Administrator spoke to R1 on Saturday, September 27, 2025 at around 7:45 AM. LPA observed Administrator tell R1 that R1 "can stay and make it as miserable for everyone as [R1] wants to make it."

Based on interviews conducted and observations, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 59-AS-20250916091855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MOAI
FACILITY NUMBER: 345002859
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2026
Section Cited
CCR
87468.1(a)(1)
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87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by:
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Facility will complete a statement of understanding regarding regulation 87468.1 and submit statement to LPA by POC due date of May 12, 2026.
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Based on interviews conducted and observations, the facility did not ensure that R1 was treated with dignity and respect, which poses a potential health, safety, and personal rights risk to the residents 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: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
09/16/2025 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250916091855

FACILITY NAME:MOAIFACILITY NUMBER:
345002859
ADMINISTRATOR:FOWLER, CRAIG M.FACILITY TYPE:
740
ADDRESS:2633 CARDINAL COURTTELEPHONE:
(916) 844-5250
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:5CENSUS: 0DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Craig Fowler, AdministratorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff misappropriated resident's financial resources.
Staff did not ensure that facility was clean and sanitary.
Staff did not ensure resident’s room was free from odors.
Staff did not ensure residents’ furniture was in good repair.
Staff did not ensure food was properly stored.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Craig M. Fowler, to deliver findings regarding the complaint allegations listed above.

During the investigation, LPA conducted interviews, toured the premises, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Allegation: Staff misappropriated resident's financial resources.

Relevant party reported that resident (R1) disclosed to them that R1 discovered $45,000 was missing from their life insurance account with Banker’s Life Insurance (BLI) after R1 called BLI to check on their account. Relevant party reported that they do not have any other details except that R1 suspects Administrator took the money.
** Report continued on 9099-C **
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 59-AS-20250916091855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MOAI
FACILITY NUMBER: 345002859
VISIT DATE: 04/28/2026
NARRATIVE
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Interview with R1 indicated that Administrator took $45,000 from R1’s Banker’s Life Long-Term Care Insurance. R1 stated that their account was depleted and that it wouldn’t be replenished until February 2026. R1 stated that they did not know how much Administrator charged R1 a month in rent. R1 stated that they handle their own money and have access to their bank accounts. R1 stated that Banker’s Life is a life insurance policy that offers long-term care coverage. R1 stated that they pay a premium of $200 a month to live at the facility. R1 stated that they have lived at the facility for a little over a year. R1 stated that the insurance pays directly to Administrator. R1 stated that their rent has always been paid this way.

Interview with BLI Representative indicated that they provided R1 long-term care insurance in the amount of approximately $45,000. BLI Representative stated that they were approved to provide funds to Moai for R1. BLI Representative stated that the last expenses provided to Moai were for December, 2024. BLI Representative stated that R1’s benefits were exhausted at the time. BLI Representative stated that Moai collected money every month, from June, 2024 to December, 2024. BLI Representative stated that checks were sent to R1’s name and sent directly to the policy owner to the address registered. BLI Representative stated that they received a request for additional funds in June, 2025, but claim was not paid and denied due to benefits "maxing out" in December, 2024. BLI Representative stated that, in order for R1 to restore benefits, they would need to stop receiving any kind of professional care after six (6) months of no services, and they would need to file a claim for a different condition than their previous claim. BLI Representative stated that June, 2025 claim was denied because professional care did not cease for six (6) months and R1 did not file a claim for a different condition. BLI Representative stated that they did not have any evidence of theft regarding R1’s benefits.

Interview with Administrator indicated that R1 pays $6,000 a month for rent. Administrator stated that R1’s rent is paid via their BLI. Administrator stated that they bill R1’s BLI directly. Administrator stated that R1’s insurance has expired. Administrator stated that R1’s insurance expired because R1 did not renew their contract with the insurance company. Administrator stated that R1’s insurance was covering the full $6,000 and capped at $45,000. Administrator stated that R1’s insurance ended February 2025. Administrator denied taking anything from R1. Interview with staff member (S2) indicated that they have never went through a resident’s property. S2 stated that they knew what R1 had and never observed anyone, including Administrator, going trough R1’s property.

** Report continued on 9099-C **
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 59-AS-20250916091855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MOAI
FACILITY NUMBER: 345002859
VISIT DATE: 04/28/2026
NARRATIVE
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LPA observed R1’s Admission Agreement and invoices for the time in which R1 resided at the care home. LPA observed R1 was charged fees in accordance with their Admission Agreement. LPA did not observe any evidence of misappropriation of R1’s funds.

Allegation: Staff did not ensure that facility was clean and sanitary.
Allegation: Staff did not ensure resident’s room was free from odors.
Allegation: Staff did not ensure residents’ furniture was in good repair.

R1 stated that facility staff do a good job keeping the facility clean and sanitary. R1 stated that they feel the facility is clean and sanitary. R1 stated that they feel the facility is free of odor. R1 stated that no furniture at the facility is broken or in disrepair. R1 pointed out to LPA that there was a bolt that was loose on their bed (during visit, LPA mentioned screw to Administrator, who stated that they were not informed regarding the screw. Administrator fixed bed during visit.) Interviews with Administrator, staff member (S2), and Witness (W1) indicated they have never observed the care home to be unclean, malodorous, or in disrepair. Administrator stated that they had issues with the care home's washing machine balancing loads of laundry and has replaced the washing machine at the care home. During visits conducted on September 19, 2025, September 30, 2025, and October 28, 2025, LPA did not observe the facility to be unclean, malodorous, or in disrepair.

Allegation: Staff did not ensure food was properly stored.

Relevant party reported that staff cut vegetables or fruits and leave them sitting out instead of putting them in a container or storing them in the refrigerator. Relevant party reported that, if there is a rotten part to a fruit or vegetable, staff will just cut that part off and use what is left for the residents. Interviews with R1, R2, S2, W1, and Administrator did not indicate any concerns regarding food not being properly stored or handled. During visits conducted on September 19, 2025, September 30, 2025, and October 28, 2025, LPA did not observe any food items on the premises that were not properly stored.

** Report continued on 9099-C **
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 59-AS-20250916091855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MOAI
FACILITY NUMBER: 345002859
VISIT DATE: 04/28/2026
NARRATIVE
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Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7