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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700087
Report Date: 07/16/2026
Date Signed: 07/16/2026 10:40:39 AM

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
03/17/2026 and conducted by Evaluator Avelina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260317173451
FACILITY NAME:SOUTH LAND PARK HILLS RCFEFACILITY NUMBER:
342700087
ADMINISTRATOR:ESTIFANIE A. TUALAFACILITY TYPE:
740
ADDRESS:7340 BARR WAYTELEPHONE:
(916) 266-3030
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:6CENSUS: 6DATE:
07/16/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:John Ysrael Barrameda and Vinita DayalTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
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5
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8
9
Staff do not ensure facility is free of rodents.
Uncleared individuals in the facility.
Resident fell due to staff neglect.
INVESTIGATION FINDINGS:
1
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7
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9
10
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13
On July 16, 2026, at 9:15 AM, Licensing Program Analyst (LPA) Avelina Martinez arrived at the facility unannounced to deliver complaint findings. LPA Martinez met with John Ysrael Barrameda and Vinita Dayal and explained the purpose of the visit.

During this investigation, LPA Martinez conducted interviews, inspected the facility, and conducted file reviews. LPA Martinez inspected the facility on March 18, 2026, June 11, 2026, and July 16, 2026. During the inspection visits, LPA Martinez did not observe rodents or pest. In addition, the LPA Martinez observed the facility to be furnished, sanitary, and to be free of malodor. Moreover, during the inspection visits, LPA Martinez did not observe uncleared indviduals at the facility. Facility staff members are associated to the facility and cleared to work at this facility.

Continued...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
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-20260317173451
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: SOUTH LAND PARK HILLS RCFE
FACILITY NUMBER: 342700087
VISIT DATE: 07/16/2026
NARRATIVE
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Two facility staff and witness 1 all denied that R1 fell due to neglect. Due to statements made during interviews, there was not sufficient evidence to show that resident 1 (R1) fell due to staff neglect.

Due to the above noted information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, and therefore the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2