<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701097
Report Date: 04/03/2026
Date Signed: 04/14/2026 11:40:51 AM

Substantiated


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
03/30/2026 and conducted by Evaluator Avelina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260330082225
FACILITY NAME:SKYPARK MANORFACILITY NUMBER:
342701097
ADMINISTRATOR:RABINDAR SINGHFACILITY TYPE:
740
ADDRESS:5510 SKY PARKWAYTELEPHONE:
(916) 422-5650
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:144CENSUS: 74DATE:
04/03/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Rabindar SinghTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not properly addressing cockroaches in the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Avelina Martinez arrived at the facility unannounced on April 14, 2026, at 10:01 AM to amend the below report. LPA Martinez changed the report to reflect public.
Licensing Program Analyst (LPA) Avelina Martinez arrived at the facility unannounced on April 03, 2026, at 11:15 am to initiate complaint investigation with the above allegation. LPA Martinez met with Rabindar Singh, and explained the purpose of the visit. Throughout the course of the investigation, LPA Martinez conducted interviews and inspected the facility. LPA Martinez inspected five bedroom, common areas, hallways, and kitchen. Based on today's inspection observations, it was determined the facility has a pest problem. LPA Martinez observed cockroaches in the bedrooms and common spaces. As a result of this investigation, the Department finds this allegation to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The deficiency is cited on the LIC 9099-D page, per Title 22 Regulations. An exit interview was conducted, and a copy of this LIC 9099 report, LIC 9099-D page, and LIC appeal rights document were provided to the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
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-20260330082225
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: SKYPARK MANOR
FACILITY NUMBER: 342701097
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/06/2026
Section Cited
CCR
87303(a)
1
2
3
4
5
6
7
87303 (a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement
1
2
3
4
5
6
7
Facility has hired a pest company to conduct pest treatments throughout the facility. Facility staff agrees to hire a pest company to complete a pest inspection. Implement a maintiance pest plan that includes daily cleaning in common areas and contaminated/pest bedrooms,
8
9
10
11
12
13
14
was not met as evidence by: Based on interviews and observation, the Licensee did not ensure the facility was sanitary and safe for residents in care. The facility has a pest/cockroach problem. This poses a potential health and safety risk to residents in care.
8
9
10
11
12
13
14
 and providing LPA Martinez Friday weekly pest updates by 5:00 PM. Weekly Updates and pest plan will begin 04/06/2026 and end on 05/06/2026. Weekly updates shall be emailed to LPA Martinez. Facility staff agrees to email pest inpsection report on 04/13/2026 by 5:00 PM.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2