342701122-5-31-2023-27-AS-KHOS-CSJGYY-20230606054619

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701122
Report Date: 05/31/2023
Date Signed: 05/31/2023 10:30:09 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/03/2023 and conducted by Evaluator Brandon Panariello

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20230403131125

FACILITY NAME:	LEGACY OAKS OF SACRAMENTO		FACILITY NUMBER:	342701122
ADMINISTRATOR:	AUDRE SMITH		FACILITY TYPE:	740
ADDRESS:	1922 MORSE AVENUE		TELEPHONE:	(916) 482-7745
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	160	CENSUS: 95	DATE:	05/31/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Alicia Duchine-administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility failed to follow admission agreement in regards to rate increase

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brandon Panariello made an unannounced inspection to Legacy Oaks of Sacramento (RCFE) on 5/31/22 at 09:30AM to conclude the investigation of the above allegation and to deliver the findings. LPA met with Administrator and together discussed the investigation details.

Based on the interviews conducted and statements obtained during the investigation process, the allegations cannot be corroborated because the RP indicated via phone converstion on 5/11/23 that the only resident on this complaint never had their rent raised.

The Department has investigated the complaint alleging (facility failed to follow admission agreement in regards to rate increase). Based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The Complaint has been dismissed.

There are no deficiencies noted or cited per California Code Regulation, TITLE 22.

Exit interview was conducted with the facility administrator and a copy of this report was left at the facility.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) -26-4723
LICENSING EVALUATOR NAME: Brandon Panariello	TELEPHONE: 323-558-2130
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023

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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