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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342702896
Report Date: 05/21/2026
Date Signed: 05/21/2026 04:00:56 PM

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
02/18/2026 and conducted by Evaluator Christina Valerio
COMPLAINT CONTROL NUMBER: 27-AS-20260218090557
FACILITY NAME:LEGACY OAKS OF SACRAMENTOFACILITY NUMBER:
342702896
ADMINISTRATOR:ROSALIE SULLIVANFACILITY TYPE:
740
ADDRESS:1922 MORSE AVENUETELEPHONE:
(916) 482-7745
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:160CENSUS: 82DATE:
05/21/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Donnabell GaliciaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff spoke inappropriately to a resident
Staff served a poor quality of food to a resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a complaint investigation and deliver findings. LPA Valerio me with Administrator Donnabell Galicia, and explained the purpose of the visit.

Allegation: Staff spoke inappropriately to a resident
LPA Valerio interviewed Staff 1 (S1). S1 stated S1 never yelled at Resident 1 (R1), and that "it was actually the other way around." S1 said R1 came into S1 office and was discussing R1's food preference. R1 started raising their voice and S1 stated they would discuss at a later time. R1 then attempted to hit S1. Police was contacted but nothing else happened after that.

Continues on LIC 9099 - C..

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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-20260218090557
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: LEGACY OAKS OF SACRAMENTO
FACILITY NUMBER: 342702896
VISIT DATE: 05/21/2026
NARRATIVE
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Continued from LIC 9099

LPA Valerio interviewed R1. R1 stated there are some staff with a tone, but R1 avoids the one R1 does not like. R1 does not recall if any staff have yelled at R1.

Allegation: Staff served a poor quality of food to a resident

LPA Valerio interviewed R1. R1 does not recall any complaints regarding the food. R1 enjoys the food and would know if R1 had moldy food.

LPA Valerio interviewed Resident 2 (R2), Resident 3 (R3), Resident 4 (R4), and Resident 5 (R). Residents did not have any complaints regarding the food quality. Residents expressed that food is the best and they look forward to the meals.

LPA Valerio obtained pictures of the food provided on different dates. The pictures were taken by kitchen staff. LPA Valerio observed the following food: Chow mein with julienne carrot, mushrooms, broccoli, onions, green beans, and beef served with a bread roll and egg roll, Grilled chicken breast with fettuccine noodles, white cream sauce served with a garden salad mixed with greens, bell peppers, cherry tomato, and green onions, Ground beef with a mix bean and vegetable salad, breakfast oats served with bacon, sausage, and fresh fruit, bacon wrapped meat loaf served with a cinnamon roll, steamed vegetables, and potato casserole.

Based on all the information collected by the Department,  although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred, therefore the allegations are UNSUBSTANTIATED. California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held and  a copy of report was left at the facility.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2