<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701703
Report Date: 09/18/2026
Date Signed: 09/18/2026 10:10:40 PM

Substantiated


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
05/26/2026 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20260526160047
FACILITY NAME:HOUSE OF JUDAHFACILITY NUMBER:
342701703
ADMINISTRATOR:NAWASA, APAKUKIFACILITY TYPE:
740
ADDRESS:9070 EL ORO PLAZATELEPHONE:
(916) 897-8123
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:6CENSUS: 5DATE:
09/18/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Care Staff Dan RakuroTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left residents unsupervised
Staff do not respond to residents call buttons
Staff did not assist resident with medical needs in a timely manner
Staff did not ensure resident's toileting needs were met
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Care Staff Dan Rakuro and explained the reason for the visit. Census: 5

Staff left residents unsupervised- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 left the Residents in care unsupervised while S1 was asleep on the couch during visit on 6/4/2026. Being cited under requlation 87411(a)
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
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 6
Control Number 27-AS-20260526160047
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: HOUSE OF JUDAH
FACILITY NUMBER: 342701703
VISIT DATE: 09/18/2026
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
Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff left residents unsupervised therefore the allegation was deemed SUBSTANTIATED.

Staff do not respond to residents call buttons- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not check on residents while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 1569.29 (c)

Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff do not respond to residents call buttons therefore the allegation was deemed SUBSTANTIATED.

Staff did not assist resident with medical needs in a timely manner- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not meet the needs on the residents while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 87465(g)

Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff did not assist resident with medical needs in a timely manner therefore the allegation was deemed SUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 27-AS-20260526160047
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: HOUSE OF JUDAH
FACILITY NUMBER: 342701703
VISIT DATE: 09/18/2026
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
Staff did not ensure resident's toileting needs were met- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not meet the residents toileting while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 87459(a)(3)(B)

Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff did not ensure resident's toileting needs were met therefore the allegation was deemed SUBSTANTIATED.

As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

Per the California Code of Regulations, Title 22, Division 6, Chapter 6, deficiencies were observed or cited and noted on LIC 809D.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 27-AS-20260526160047
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: HOUSE OF JUDAH
FACILITY NUMBER: 342701703
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/21/2026
Section Cited
CCR
87411(a)
1
2
3
4
5
6
7
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608....,
1
2
3
4
5
6
7
Staff (S1) is no longer working at the facility.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Type A
09/21/2026
Section Cited
CCR
87465(g)
1
2
3
4
5
6
7
FIncidental Medical and Dental Care The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4).
1
2
3
4
5
6
7
Staff (S1) is no longer working at the facility.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 27-AS-20260526160047
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: HOUSE OF JUDAH
FACILITY NUMBER: 342701703
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/21/2026
Section Cited
CCR
87459(a)(3)(B)
1
2
3
4
5
6
7
87459(a)(3)(B) Functional Capabilities-(a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to:(3) Toileting, including the need for:(B) Assistance of another person.
1
2
3
4
5
6
7
Staff (S1) is no longer working at the facility.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
Type B
10/02/2026
Section Cited
CCR
97468.2(a)(4)
1
2
3
4
5
6
7
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, ... (4) To care, supervision, and services that meet their individual needs
1
2
3
4
5
6
7
Staff (S1) is no longer working at the facility.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. Which poses a potential health, safety, and personal rights risk to residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
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
05/26/2026 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20260526160047

FACILITY NAME:HOUSE OF JUDAHFACILITY NUMBER:
342701703
ADMINISTRATOR:NAWASA, APAKUKIFACILITY TYPE:
740
ADDRESS:9070 EL ORO PLAZATELEPHONE:
(916) 897-8123
CITY:ELK GROVESTATE:CAZIP CODE:
95624
CAPACITY:6CENSUS: 5DATE:
09/18/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Care Staff Dan RakuroTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member consumed alcohol/drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Care Staff Dan Rakuro and explained the reason for the visit. Census: 5
Staff member consumed alcohol/drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care - LPA Lund reviewed facility paperwork which stated that Staff (S1) wasn’t on alcohol or drugs during working hours. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours.
Based on interviews with Reporting Party and Staff on the information provided, it was unclear if staff member consumed alcohol/drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care, the allegation was deemed UNSUBSTANTIATED.
Exit interview conducted, and copies of the report and appeal rights left.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 6