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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700827
Report Date: 03/20/2026
Date Signed: 03/20/2026 09:54:56 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
02/25/2026 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20260225115341
FACILITY NAME:ABOUNDING PEACE ELDERLY CAREFACILITY NUMBER:
342700827
ADMINISTRATOR:WAQALALA, UNAISIFACILITY TYPE:
740
ADDRESS:7124 HAYWARD DRTELEPHONE:
(916) 578-8834
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:6CENSUS: 6DATE:
03/20/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Shanice DownerTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff did not safeguard resident's personal belongings.
Staff do not provide resident with adequate amounts of food.
INVESTIGATION FINDINGS:
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On 03-20-2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct a follow-up investigation and deliver findings regarding the allegations noted above. LPA initially met with staff on duty, Shanice Downer (S1), and stated the purpose of the visit. The administrator, Unaisi Waqalala (AD), was notified and unable to be present at this time.

Allegation – Staff did not safeguard resident's personal belongings:
The investigation into this allegation consisted of interviews and record reviews. This allegation centered around Resident-1 (R1) and R1’s personal belongings, specifically R1’s personal supplements and other medications that R1 keeps in their own bedroom.

During an interview on 02-27-2026, staff member reported that R1 can be very particular about their needs. Staff shared that R1 has recently shown signs of confusion and had been sent to the emergency room twice in February 2026 due to health concerns.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
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 3
Control Number 27-AS-20260225115341
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: ABOUNDING PEACE ELDERLY CARE
FACILITY NUMBER: 342700827
VISIT DATE: 03/20/2026
NARRATIVE
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Staff also explained that when R1 was admitted to this facility, staff removed medications and sharp objects from R1’s bedroom for safety reasons. Staff stated that R1 had later brought additional items into the facility, which staff tried to monitor. Regarding personal belongings, staff reported that staff label residents’ clothing with their names to prevent mix-ups and that rooms are cleaned daily.

During an interview, the complainant stated that they had been drinking alcohol and wanted to withdraw the complaint submitted to the Department, as they felt the issue had already been resolved with facility staff.

In an interview on 02-27-2026, R1 reported that staff had removed a bag of supplements from their room about three weeks earlier. The bag contained multivitamins, vitamin C, and Tylenol. R1 shared concerns about clothing being mixed up and stating having received another resident’s clothing and was missing a few shirts. However, R1 also stated being happy living at the facility.

Additionally, during a separate visit on 02-19-2026, four residents were interviewed. None reported concerns about their personal belongings at that time, and none reported major issues with food service, although one resident mentioned that the food could be improved.

A review of R1’s Physician’s Report dated December 18, 2025, showed that R1 does not have any cognitive impairment and is able to care for their own personal needs. The report also stated that R1 is allowed to have access to personal items, including supplements and other household items, without risk.

Although R1 reported that staff removed their supplements and that there were some issues with clothing being mixed up, there is not enough evidence to show that staff did not safeguard R1’s belongings. Staff reported taking steps to organize and monitor resident items and other residents did not report similar concerns. Therefore, the allegation is unsubstantiated.

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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20260225115341
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: ABOUNDING PEACE ELDERLY CARE
FACILITY NUMBER: 342700827
VISIT DATE: 03/20/2026
NARRATIVE
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Allegation - Staff do not provide resident with adequate amounts of food.

The investigation into this allegation consisted of interviews, record reviews and facility observations. This allegation centers around resident, R1.

During a complaint visit on 2-27-2026, staff member reported that R1 is very particular about food. Staff stated that residents are allowed to access the refrigerator and that R1 buys their own food using their own EBT benefits. Staff reported that when R1 asks for more food, staff provides it. Staff noted that canned food is R1’s favorite snack.

During an interview, the complainant stated that they had been drinking alcohol and wanted to withdraw the complaint submitted to the Department, as they felt the issue had already been resolved with facility staff.

In an interview on 02-27-2026, R1 also stated that R1 sometimes feels hungry but confirmed that staff provide R1 with available food.

During a separate visit on 02-19 2026, four residents were interviewed. None reported concerns about food service, although one resident stated that the food could be improved.

During observations on 02-19 2026, LPA saw a resident assisting staff with preparing dinner. LPA also observed that residents had open access to the kitchen, including the refrigerator, freezer, and pantry. The facility was found to have at least a seven-day supply of non-perishable food and a two-day supply of perishable food. During a visit on 02-27-2026, LPA observed staff putting away groceries.

Although R1 stated feeling hungry sometimes, R1 also confirmed that staff provide food when requested. In addition, other residents did not report concerns, and observations showed that food was available and accessible. Therefore, there is not enough evidence to support the allegation, and it is determined to be unsubstantiated.

A finding of unsubstantiated means that although the allegation may have happened the preponderance of evidence does not prove it.



No deficiencies were cited as a result of this visit. An exit interview was conducted with AD over the phone. AD authorized S1 to sign this report. A copy of this report and appeal rights were provided to S1.

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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3