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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701107
Report Date: 07/21/2025
Date Signed: 07/21/2025 05:53:46 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
02/10/2025 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20250210142741
FACILITY NAME:REGENCY PLACEFACILITY NUMBER:
342701107
ADMINISTRATOR:DAMION E. ANDERSONFACILITY TYPE:
740
ADDRESS:8190 ARROYO VISTA DRIVETELEPHONE:
(916) 681-7800
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:61CENSUS: 77DATE:
07/21/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Vandita Chand, Resident Services DirectorTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Resident in care sustained multiple unexplained injuries
Staff left resident on the ground for an extended period of time
Staff did not provide adequate supervision to residents in care resulting in fall
Staff did not provide activities to residents in care
Staff did not report incident to resident's authorized representative
INVESTIGATION FINDINGS:
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On 07/21/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced to present findings for a complaint. LPA Campbell met with Vandita Chand, Resident Services Director and explained the purpose of the visit.

Regarding the allegation that resident in care sustained multiple unexplained injuries, when contacted, F2 reported that their family member's fall was a result of R2's refusal to use a walker and that the falls decreased when she stopped being "stubborn". F3 reported that R3 did not have an abundance of falls and F3 could only recount 3 falls over the past year.

Regarding the allegation that staff left resident on the ground for an extended period of time and staff did not provide adequate supervision to residents in care resulting in falls, R1 was identified in the complaint as a resident who was left on the ground as witnessed by F1. However, when contacted, F1 reported no such event and stated that staff contact her and leave messages whenever R1 is injured though F1 reports staff should make more of an effort to reach them if they don't respond.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025
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-20250210142741
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: REGENCY PLACE
FACILITY NUMBER: 342701107
VISIT DATE: 07/21/2025
NARRATIVE
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Regarding the allegation that staff did not provide activities to residents in care, LPA Campbell spoke to R4 and R5. Both confirmed that the community offers many activities though R4 doesn't consider themselves a "joiner" and R5 predominantly plays card games. Both residents interviewed were able to confirm many of the activities on the event calendar have been offered to them.

Regarding the allegation that staff did not report an incident to residents authorized representatives, LPA Campbell contacted emergency contacts for R1, R2 and R3.. Of the three emergency contacts and/or family members interviewed, F1, F2 and F3 reported that staff notified them when residents fell or were injured.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore these allegations are UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8,no deficiencies cited.  Exit interview was held and a copy of this report was given to Vandita Chand.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2