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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342702896
Report Date: 05/28/2026
Date Signed: 05/28/2026 03:46:27 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
05/22/2026 and conducted by Evaluator Christina Valerio
COMPLAINT CONTROL NUMBER: 27-AS-20260522104217
FACILITY NAME:LEGACY OAKS OF SACRAMENTOFACILITY NUMBER:
342702896
ADMINISTRATOR:DONNABELL GALICIAFACILITY TYPE:
740
ADDRESS:1922 MORSE AVENUETELEPHONE:
(916) 482-7745
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:160CENSUS: 81DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Shreetika ChandTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility staff does not ensure facility is free of pests
Facility staff does not answer phone calls
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a complaint investigation visit. LPA Valerio met with Memory Care Director (MCD) Shreetika Chand, and explained the purpose of the visit.

Allegation: Facility staff does not ensure facility is free of pests

According to the Reporting Party (RP), the RP stated there were roaches in the staff break room and laundry room during or around March of 2026.

On 05/28/2026, LPA Valerio observed the staff break room and laundry room. LPA Valerio did not observe any pest in staff break room or the laundry room.

Continues on LIC 9099 - C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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-20260522104217
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: 05/28/2026
NARRATIVE
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Continued from LIC 9099

Allegation: Facility staff does not ensure facility is free of pests

LPA Valerio was requested and obtained Pest Control Service Reports for March 2026 and April 2026. According to the licensee, the facility has a contract with California Pest Control and they come out weekly. LPA Valerio observed California Pest Control came to the facility to provide services on the following dates:
      • 03/03/2026
      • 03/10/2025
      • 03/17/2026
      • 03/20/2026
      • 03/24/2026
      • 03/31/2026
      • 04/07/2026
      • 04/14/2026
      • 04/21/2026
      • 04/28/2026

Allegation: Facility staff does not answer phone calls

According to the Reporting Party (RP), they attempted to call the facility at (916) 482-7745 but the voicemail box was full and unable to take messages. On 05/26/2026, LPA Valerio contacted the facility number, 916-482-7745. The phone rang three times and was answered by facility staff. On 05/28/2026, LPA Valerio called the facility number, 916-482-7745, which was answered by facility staff after two rings. LPA Valerio observed front desk staff answering the phone during the visit on 05/28/2026.

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 this allegation is 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: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2