342700799-7-8-2026-27-AS-APAA-DW8QN8-20260722121842

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700799
Report Date: 07/08/2026
Date Signed: 07/08/2026 10:17:20 AM

Unsubstantiated

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
10/01/2025 and conducted by Evaluator Kevin Gould

COMPLAINT CONTROL NUMBER: 27-AS-20251001110100

FACILITY NAME:	STARGLOW RCFE		FACILITY NUMBER:	342700799
ADMINISTRATOR:	HOUSTON, ANGELINE		FACILITY TYPE:	740
ADDRESS:	35 STARGLOW CIRCLE		TELEPHONE:	(916) 603-8434
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95831
CAPACITY:	6	CENSUS: 5	DATE:	07/08/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Chris Burns		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Other: staff did not appropriately respond to gas leak in the facility.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to Starglow RCFE on 7/8/26 at 9:00am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with staff, Chris Burns and together discussed the investigation details.

Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegation. LPA conducted interviews with the reporting party (RP), three staff members and the adminisntrator. LPA attempted to interview three residents. based on LPA file review all residents present in the facility have a diagnosis of dementia. All attemted interviews with residents were unsucessful and did not produce meaningful information related to the above compalint. Residents were unable to provide any infromation regarding a gas leak and evacuation of residents. All staff members interviewed denied the allegation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

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 27-AS-20251001110100

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: STARGLOW RCFE	FACILITY NUMBER: 342700799
	VISIT DATE: 07/08/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

One staff member was present and on duty and denied facility staff did not evacuate residents after reporting gas leak to administrator. Administrator denied the allegation and reported residents were evacuated prior to being alerted by others and gas company response to the facility.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Other are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed.

There are no deficiencies is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.

SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2