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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701578
Report Date: 07/10/2026
Date Signed: 07/10/2026 04:09:29 PM

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
04/14/2026 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20260414141418
FACILITY NAME:LOVING LEGACY SENIOR CARE IIFACILITY NUMBER:
342701578
ADMINISTRATOR:BANUVE, VENIANAFACILITY TYPE:
740
ADDRESS:6532 RANCHO GRANDE WAYTELEPHONE:
(279) 229-7719
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:6CENSUS: 6DATE:
07/10/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Barbara WilliamsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Licensee did not ensure facility produced records to the appropriate party upon request
INVESTIGATION FINDINGS:
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On July 10, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility unannounced to conduct a follow-up complaint investigation regarding the allegation noted above. LPA met with staff on duty, Barbara Hall-Williams (S1) and stated the purpose of the visit. The administrator, Veniana Banuve (AD) was not available to be present during this visit and designated S1 to sign this report.
The investigation into the allegation that licensee did not ensure facility produced records belonging to resident (R1) after multiple requests from requester consisted of interviews and record reviews.
According to documentation provided to the Department, the requester made ten (10) attempts between February 2, 2026, and April 8, 2026, via tracked mail and voicemail messages, attempting to obtain R1’s records. The facility did not respond and did not produce any records.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
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-20260414141418
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: LOVING LEGACY SENIOR CARE II
FACILITY NUMBER: 342701578
VISIT DATE: 07/10/2026
NARRATIVE
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On June 30, 2026, the administrator stated, through telephone interview, that she “did not received anything” regarding these requests but she confirmed that she will reach out to the requester to resolve this matter. On July 10, 2026, a follow-up attempt with the administrator via email correspondence and a telephone call, regarding the status of the record request and her stated intent to contact the requester. Administrator has not reach out to the requester prior to today.

The Department has concluded, based on the preponderance of the evidence obtained during this investigation, that the above allegation is SUBSTANTIATED.

The following deficiencies have been cited pursuant to CCR Title 22, Division 6, Chapter 8, Section 87468.2(a)(19).

Plan of correction and appeal were discussed during the exit interview with S1. This report and the appeal rights were provided.

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

DATE: 07/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20260414141418
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: LOVING LEGACY SENIOR CARE II
FACILITY NUMBER: 342701578
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2026
Section Cited
CCR
87468.2(a)(19)
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To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies.
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Administrator will reach out to the requester and provide the documents no later than end of day by POC due date.
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This requirement is not met as evidenced by: Based on interviews and record reviews, the requester made multiple attempts to obtain the records through mails and phone calls but did not received the records. This poses a potential health, safety, and/or personal rights risks to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
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