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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920396
Report Date: 10/07/2026
Date Signed: 10/07/2026 10:50:05 AM

Unsubstantiated


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
09/08/2026 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20260908152544
FACILITY NAME:ORANGEVALE GARDEN SENIOR CARE HOMEFACILITY NUMBER:
345920396
ADMINISTRATOR:HILDEBRANDT, CHIWENFACILITY TYPE:
740
ADDRESS:8657 OAK AVENUETELEPHONE:
(916) 805-0108
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:6CENSUS: 5DATE:
10/07/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH: Administrator , Chiwen HildebrandtTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Facility does not have adequate food supply for all residents per Regulations.
Facility was not providing clean linens to residents.
INVESTIGATION FINDINGS:
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On 10/7/26, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to deliver complaint findings regarding the allegations listed above and met with Administrator Chiwen Hildebrandt.

The department conducted records review and interviews with staff and residents to investigate the complaint.



**Report continued on LIC9099-C**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2026
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-20260908152544
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: ORANGEVALE GARDEN SENIOR CARE HOME
FACILITY NUMBER: 345920396
VISIT DATE: 10/07/2026
NARRATIVE
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****Report continued ........

Allegation- Facility does not have adequate food supply for all residents per Regulations. Unsubstantiated

Based on staff and resident interviews along with observations of the facility and meal service, the department found that there was an adequate amount of food for the residents according to the Department’s Regulations. The food appeared nutritious and the sanitation in the kitchen appeared appropriate. Resident’s interviews indicated that food was good and there were no reportable issues to address. Staff interviews reflected that food supplies in facility were adequate at all times. Currently, there is no evidence to suggest that staff have failed to provide adequate food service to residents as required, therefore, this allegation was Unsubstantiated.

Allegation- Facility was not providing clean linens to residents. Unsubstantiated

LPA conducted interviews with residents, staff and toured the facility to investigate this allegation. LPA observed the bed to be made and the sheets and pad on top to be dry and odor free in all rooms checked. Interview with staff indicated that caregivers would change sheets for residents as needed and there have been no issues with caregivers not changing soiled sheets. Staff stated they clean the rooms and empties trash as often as daily. LPA observed linens to not be soiled or any incontinent odors on 9/9/26 when touring. Resident’s interviews did not reflect any concerns related to this matter. Staff who work at night check residents every two hours during the overnight hours and provide incontinent care when needed, including placing an absorbency pad on the linens and clean linens. Based on this information, this allegation was Unsubstantiated.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.



Exit meeting conducted .A copy of this report has been provided to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2