Incident investigation·May 4, 2026

On 05/04/2026, Licensing Program Analyst (LPA) Arielle Pascua and Cosumnes High Utlizier Specialist (CHUS), Eddie Rachsein arrived to this facility unannounced to conduct a complaint visit. LPA Pascua met with Staff Member, Estia Nawani and explained the purpose of the visit. The purpose of this visit was in response to the complaint visits conducted on this day and the observations made. Shortly after, LPA Pascua met with House Manager, Apakuki Nawasa and Facility Designated Administrator (FDA), Bulou Dranica Matadua. Current census was 4. It was learned that 1 resident was out at the hospital at this time. During the course of this visit, LPA Pascua conducted a tour of the facility and reviewed facility records. While touring the kitchen, it was observed that the facility did not maintain an adequate two-day supply of perishable food. LPA Pascua observed an empty jar of pickles, an empty jar of salsa, a half-gallon of milk, a locked box, one mandarin fruit cup, mayonnaise, a bowl containing an unknown substance, and a package of turkey meat. When asked how often the facility obtains food, staff stated that additional food was kept locked in the garage due to residents eating during the night. LPA Pascua continued the tour into the bedrooms and observed that, in one bedroom, a bed was blocking the double exit doors. After moving the bed, LPA Pascua noted a lock installed at the top of the door that would prevent the door from being easily opened. During the tour of the garage, LPA Pascua observed a sign indicating that residents were not permitted to enter the area. Upon entry, an air mattress was observed along with personal items, including chargers, a pillow, and a blanket. A second refrigerator was also present, however, it contained only a limited supply of food, including a box of pancakes, waffles, two gallons of milk, one chicken, cheese, and butter. The tour continued to the backyard, where it was observed that the back gate had been modified with a MagnaLatch child safety lock. LPA Pascua was unable to open the gate easily. In addition, a tour of the facility bathrooms was conducted, during which it was observed that both resident toilets were clogged at the time of LPA Pascua’s visit. Based on today's visit, the facility is being cited for deficiencies noted in LIC809-D. Additionally, the facility is hereby assessed a civil penalty of $500 each for Sections 87203 and 87202(a) for Fire Safety and Fire Clearance. Technical Support Program was discussed during this visit. An exit interview was conducted and a copy of this report along with appeals rights were provided to the facility at the end of this visit.