342700299-5-15-2026-59-AS-LMUZ-DU8MSS-20260519095225

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700299
Report Date: 05/15/2026
Date Signed: 05/15/2026 02:54:47 PM

Unfounded

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
05/13/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260513161554

FACILITY NAME:	HAPPY MEMORIES SENIOR CARE		FACILITY NUMBER:	342700299
ADMINISTRATOR:	CHIS, CARMEN		FACILITY TYPE:	740
ADDRESS:	255 CIMMARON CIRCLE		TELEPHONE:	(707) 365-6353
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	6	CENSUS: 5	DATE:	05/15/2026
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Carmen Chis, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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-Licensee has uncleared staff providing care to residents
-Licensee does not ensure staff have complete personnel files

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrator, Carmen Chis, to open and deliver complaint investigation findings regarding the above stated allegations.

During today's visit, LPA conducted interviews and reviewed/obtained documentation pertinent to the investigation. LPA reviewed all staff files and found all staff to be criminal background cleared and to have complete personnel files. Interviews with Administrators and staff (S1 and S2) indicated that the staff working in the care home matched the Personnel Report LIC500.

Based on documentation obtained and interviews conducted, the above allegations are found to be UNFOUNDED. A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or are without a reasonable basis. No deficiencies are being cited.
Exit interview conducted. A copy of the report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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