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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701551
Report Date: 08/19/2026
Date Signed: 08/19/2026 11:55:06 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
02/27/2026 and conducted by Evaluator Kevin Gould
COMPLAINT CONTROL NUMBER: 27-AS-20260227111615
FACILITY NAME:WOODLAKE, THEFACILITY NUMBER:
342701551
ADMINISTRATOR:ROSS, LATRICEFACILITY TYPE:
740
ADDRESS:1445 EXPO PARKWAYTELEPHONE:
(916) 472-5773
CITY:SACRAMENTOSTATE: CAZIP CODE:
95815
CAPACITY:144CENSUS: 125DATE:
08/19/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Latrice RossTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not properly report incidents involving a resident
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection at the Woodlake RCFE on 8/19/26 at 11:40am to conclude the investigation of the above allegation and to deliver the findings. LPA Gould met with Administrator, Latrice Ross and together discussed the investigation details.

Based on the interviews conducted during the investigation process and other information obtained during the investigation process, LPA Gould was unable to corroborate the allegation. LPA conducted interviews with reporting Party (RP) and facility Administrator. Per administrator statements, once it was determined two residents had departed the facility unsupervised, the facility contacted local law enforcement to make a missing person report. Police arrived while the administrator was on the phone with the authorized representatives for one of the two individuals (R1) who had eloped from the facility. Officers who responded to the request for missing persons and obtained the contact information for the other missing individual’s (R2) authorized representative.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
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-20260227111615
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: WOODLAKE, THE
FACILITY NUMBER: 342701551
VISIT DATE: 08/19/2026
NARRATIVE
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After being contacted by law enforcement, the authorized representative for R2, prior to being contacted by the facility, called the facility directly to gather additional information regarding R2’s elopement from the facility and current status. Authorized representative questioned the timeliness of the facility notification policy, rather than being called by law enforcement directly. LPA Gould has determined the facility has met requirements for reporting to law enforcement prior to contacting authorized representatives to report and incidents such as elopement. Facility was in process of making notifications when R2’s authorized representative contacted the facility and was able to discuss the circumstances of elopement.


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 Reporting Requirements are unsubstantiated but if any additional information is received this complaint can be amended and the findings can be changed.

There are no deficiencies 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: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2