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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 092700840
Report Date: 09/10/2026
Date Signed: 09/10/2026 12:00:13 PM

Unfounded


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
06/09/2026 and conducted by Evaluator Lavinia Muscan
COMPLAINT CONTROL NUMBER: 59-AS-20260609105145
FACILITY NAME:VILLAGE OAKS SENIOR CARE, LLCFACILITY NUMBER:
092700840
ADMINISTRATOR:FOULK, BENJAMIN L.FACILITY TYPE:
740
ADDRESS:1011 ST. ANDREWS DRIVETELEPHONE:
(916) 293-1981
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:15CENSUS: 9DATE:
09/10/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Administrator Serge EntonaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff left resident in soiled briefs for an extended period of time
Staff do not ensure bathrooms are clean
Staff yell at residents
INVESTIGATION FINDINGS:
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On 9/10/2026, Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Serge Entona.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

**Report continued on 9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
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 2
Control Number 59-AS-20260609105145
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: VILLAGE OAKS SENIOR CARE, LLC
FACILITY NUMBER: 092700840
VISIT DATE: 09/10/2026
NARRATIVE
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Staff left resident in soiled briefs for an extended period of time
Based on interviews, record review, and observation, staff stated that residents are checked every couple of hours and that incontinence care is provided when a resident is wet or soiled. Staff described providing care based on each resident’s individual needs. Observation of residents did not identify any resident remaining in soiled briefs for an extended period of time. Therefore, the allegation that staff left a resident in soiled briefs for an extended period of time is UNFOUNDED.

Staff do not ensure bathrooms are clean
Based on interviews, record review, and observation, the facility’s bathrooms were observed to be clean and maintained in a sanitary condition. Staff stated that bathrooms are cleaned every few hours throughout the day and are cleaned after a resident uses the bathroom, as needed. Resident interviews did not identify concerns regarding the cleanliness of the bathrooms. The condition of the bathrooms observed during the investigation was consistent with the information provided by staff and residents. Therefore, the allegation that staff do not ensure bathrooms are clean is UNFOUNDED.

Staff yell at residents
Based on interviews, record review, and observation, residents interviewed stated that staff do not yell at residents and described staff as kind, respectful, and caring. Observation of staff interactions with residents was consistent with the residents’ statements, with staff interacting with residents in a calm and respectful manner. No yelling or inappropriate communication toward residents was observed. Therefore, the allegation that staff yell at residents is UNFOUNDED.

Exit interview conducted. Report left with facility.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
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