Eskaton Village

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Staff do not respond to resident's calls for assistance

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Resident Care Director, Chantel Krahn, to deliver complaint investigation findings regarding the above stated allegation. Interviews with residents (R1, R2, R3, R4, R5, and R6) indicated that staff respond to their calls for assistance. Interviews with residents indicated that staff respond to their calls for assistance quickly. According to R1's device activity report dated January 19, 2026-February 8, 2026, staff responded to all calls for assistance. Staff schedules for the months of January-February 2026 indicated that the facility is fully staffed for all shifts. Based on interviews conducted and documentation obtained, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the reportthe state’s words, verbatim · CDSS document, Feb 20, 2026 · control 59-AS-20260206110346

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Staff do not treat resident with dignity and respect -Staff withhold food from resident

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Healthcare Administrator, Sean Beloud, to deliver complaint investigation findings regarding the above stated allegations. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. Facility provided LPA their internal investigation, which did not indicate any findings of staff treating residents with a lack of dignity or respect, as well as staff withholding food from residents in care. Interviews with staff (S1, S2, S3, S4, and S5) indicated that they have never witnessed staff treating residents with a lack of dignity or respect. Residents (R1, R2, and R3) indicated that staff treat them well and are meeting all their needs. R2 and R3 indicated that staff are respectful. ***********************************************Continued on LIC9099-C*********************************************** Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 14, 2025 · control 59-AS-20250502112328

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Facility staff are not changing bandage as ordered by home health

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 12/16/24, and met with the Resident Care Coordinator (RCC), Chantel Krahn, to open a complaint investigation and deliver findings regarding the above stated allegation. During today's visit, LPA reviewed documentation pertinent to the investigation and conducted interviews. Interviews with RCC and Home Health Nurse indicated that Resident (R1) is to receive wound care two times per week for a skin biopsy on the right foot. Home Health Nurse indicated that they typically only provide wound care for residents 2-3 times per week and anything more would need a signed physician's order. Home Health Nurse indicated that when the initial assessment was conducted with R1 it was agreed that they would be providing wound care two times per week. Home Health Nurse did not indicate ********************************************Continued on LIC9099-C*************************************************** Unfoundedthe state’s words, verbatim · CDSS document, Dec 16, 2024 · control 59-AS-20241212093901

Allegation investigated: -Staff did not seek medical care in a timely manner for resident

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 9/19/24, and met with the Resident Care Coordinator, Chantel Krahn, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. ***********************************************Continued on LIC9099-C*************************************************** Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 59-AS-20240524160147

Allegation investigated: Staff are not providing resident with incontinence care. Staff did not respond to resident’s call button.

On 4/16/24, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Chantel Krahn, Resident Care Coordinator, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted extensive interviews. LPA finds that the allegations cited above are substantiated. LPA Mknelly reviewed the Observation Detail List (ODL) assessment of needed services for residents who reside in Hall 1 of assisted living (rooms 16-40), as well as the call system Device Activity Report (DAR) for assisted living for the dates of 2/11/24- 2/18/24. For the ODL’s provided for review on 2/29/24, 3 residents are identified as needing Level 4 assistance, 8 residents require Level 3 assistance, 3 require Level 2 assistance and 2 residents do not require more than basic services. Report continued. Substantiatedthe state’s words, verbatim · CDSS document, Apr 16, 2024 · control 59-AS-20240215152024

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility fire alarm is in disrepair.

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Monday March 4, 2024, to complete and deliver findings for a complaint received on 1/10/2024. LPA met with Administrator Greg and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator and Campus Patrol. LPA reviewed fire watch logs and emails between the facility and the Fire Department. The result of the investigation is as follows: LPA learned that between 1/9/2024 and 1/10/2024, there were two false fire alarms that occurred at the facility. The facility learned that one fire detector was defective and immediately replaced the device. A few hours later, the facility learned that the replacement device was defective and replace it. Therefore, there were two false alarms. The facility immediately initiated fire watch (for approximately 20 hours) and supplied the logs to the Fire Department. Separately, the facility has a long-term project, which has been Unsthe state’s words, verbatim · CDSS document, Mar 4, 2024 · control 59-AS-20240110121302

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Inspections, records and interviews found that in addition to the failure on the parts of S3 and S4 to properly prepare the food for R1 on 3/11/23, the investigation also found: S3’s and S4’s incid ents of, as their terminations letters state- “ multiple residents have received food that was not appropriately prepared”- had not been addressed in supervisor action prior to the incident on 3/11/23; that the procedures in place did not address individual meal verification when delivered to resident rooms; and that S1 was not provided appropriate training regarding R1’s dietary needs and assistance with cutting food. This constituted a failure on the part of the administrator to provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and need. Furthermore, the incident report and death report provided by the licensee to investigators failed to be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified and did not include the nature of event and disposition of the case. SUPERVISORS NAME : Maribeth Senty LICENSING EVALUATOR NAME : Kevin Mknelly LICENSING EVALUATOR SIGNATURE : DATE: 09/13/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04) Page: 1 of 3 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY FACILITY EVALUATION REPORT (Cont) CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100 SACRAMENTO , CA 95827 FACILITY NAME: ESKATON VILLAGE FACILITY NUMBER: 340313383 VISIT DATE: 09/13/2023 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 As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following

Inspections, records and interviews found that in addition to the failure on the parts of S3 and S4 to properly prepare the food for R1 on 3/11/23, the investigation also found: S3’s and S4’s incid ents of, as their terminations letters state- “ multiple residents have received food that was not appropriately prepared”- had not been addressed in supervisor action prior to the incident on 3/11/23; that the procedures in place did not address individual meal verification when delivered to resident rooms; and that S1 was not provided appropriate training regarding R1’s dietary needs and assistance with cutting food. This constituted a failure on the part of the administrator to provide or ensure the provision of services to the residents with appropriate regard for the residents' physical and mental well-being and need. Furthermore, the incident report and death report provided by the licensee to investigators failed to be submitted to the licensing agency and to the person responsible fothe state’s words, verbatim · CDSS document, Sep 13, 2023

Allegation investigated: Facility staff did not adhere to Resident’s special diet. Facility staff did not provide care and supervision during meals which resulted in resident death.

On 9/13/23, Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced and spoke to Greg Klick, Executive Director, to deliver complaint findings for the above allegation. The Department reviewed resident records, facility records and conducted extensive interviews. The Department finds that the allegations cited above are substantiated. It was determined that on 3/11/23, R1 was provided a meal in their room that contained large pieces of meat. R1 had physician’s orders in place for a mechanical soft diet. Staff, S1, delivered the food to R1’s room and left it unattended while R1 was in the restroom. S1 left the food unattended in order to empty the trash. While S1 was not present, R1 attempted to eat the food which had been delivered, R1 choked on the food left and was found by a medication technician, S2, a short time later. S1 returned to find R1 choking and attended to by S2. CPR was provided and emergency responders were called. Emergency responders found and dislodged a pithe state’s words, verbatim · CDSS document, Sep 13, 2023 · control 59-AS-20230320100736