345920001-5-28-2026-59-AS-LMUZ-DV4TJ3-20260616144539

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345920001
Report Date: 05/28/2026
Date Signed: 05/28/2026 05:10:01 PM

Unsubstantiated

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
04/16/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260416165916

FACILITY NAME:	CARMICHAEL ESTATES NO. 2		FACILITY NUMBER:	345920001
ADMINISTRATOR:	MCFADDEN, REBECCA		FACILITY TYPE:	740
ADDRESS:	5220 EL CAMINO AVE.		TELEPHONE:	(916) 514-9375
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	6	CENSUS: 6	DATE:	05/28/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Rebecca McFadden, Administrator		TIME COMPLETED:	05:25 PM

ALLEGATION(S):

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-Staff are leaving residents unsupervised at the care home

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrator, Rebecca McFadden, to deliver complaint investigation findings regarding the above stated allegation.

During the course of the investigation, LPA conducted interviews, made observations, and obtained documentation pertinent to the investigation.

*********************************************Continued on LIC9099-C****************************************************

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

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 59-AS-20260416165916

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: CARMICHAEL ESTATES NO. 2	FACILITY NUMBER: 345920001
	VISIT DATE: 05/28/2026

NARRATIVE

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LPA conducted visits at the care home on April 22, 2026, May 20, 2026, and May 28, 2026. During all visits, LPA observed care staff at the home. Interviews with residents (R1, R2, and R3) indicated that they have never been left at the facility without care staff. Interview with the Licensee indicated that there is always a care staff at the care home. Interview with the Administrator indicated that they are live-in staff and that there is always a care staff at the home. Administrator indicated that if they have to leave, then there is always another caregiver at the home. Interview with staff (S1) indicated that, if the Administrator has to leave the facility, they will fill in and the facility is never left unattended. Interview with hospice staff and R2's responsible party indicated that they have never witnessed the facility left unattended by staff members. According to the LIC500, the facility has staff scheduled during all shifts.

Based on interviews conducted, observations, and documentation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

LIC9099 (FAS) - (06/04)

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