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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700781
Report Date: 09/24/2026
Date Signed: 09/24/2026 02:40:06 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
07/22/2026 and conducted by Evaluator Avelina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260722125735
FACILITY NAME:SUNNY PEACE 1FACILITY NUMBER:
342700781
ADMINISTRATOR:CARRASCO IV, EUFRONIOFACILITY TYPE:
740
ADDRESS:6204 FENNWOOD CT.TELEPHONE:
(619) 861-6339
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:6CENSUS: DATE:
09/24/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Emelda Pratt and Marie Paz DungcaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not provide a comfortable enviroment for residents.
Staff do not ensure that residents needs are met.
Staff retained resident who requires a higher level of care.
INVESTIGATION FINDINGS:
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On September 24, 2026, at 9:45 AM, Licensing Program Analyst (LPA) Avelina Martinez arrived unannounced at facility to deliver complaint findings. LPA Martinez Emelda Pratt and Marie Paz Dungca during today’s visit and explained the purpose of this inspection visit.

Throughout the course of this investigation, LPA Martinez conducted interviews, reviewed facility records, resident records, and toured the facility.

Based on three out of three resident interviews, residents reported that their needs are being met. Three out of three residents reported that they have no issues or concerns regarding facility caregivers. Three out of three residents reported they do not have issues with the facility temperature. One out of two staff reported that facility temperature is kept at 75 degrees. One out of two staff reported that facility is kept at a cool temperature. LPA Martinez visited the facility on July 09, 2026, July 24, 2026, and September 24, 2026, and the facility temperature was kept at a comfortable temperature. Continued...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Arielle Pascua
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
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-20260722125735
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: SUNNY PEACE 1
FACILITY NUMBER: 342700781
VISIT DATE: 09/24/2026
NARRATIVE
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LPA Martinez reviewed resident 1's (R1) skilled nursing facility (SNF) discharge notes, which indicates that R1 was medically stable and it was appropriate for them to transition to a lower level of care (board and care facility). Staff 1 (S1) also reported they conducted an in-person pre-placement assessment with R1. S1 reported that based on their pre-placement assessment, they determined that the care facility was able to meet R1's needs.

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: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2