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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342702896
Report Date: 05/14/2025
Date Signed: 05/14/2025 12:58:13 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
05/12/2025 and conducted by Evaluator Kimberly Viarella
COMPLAINT CONTROL NUMBER: 27-AS-20250512131619
FACILITY NAME:LEGACY OAKS OF SACRAMENTOFACILITY NUMBER:
342702896
ADMINISTRATOR:JONATHAN AGUILARFACILITY TYPE:
740
ADDRESS:1922 MORSE AVENUETELEPHONE:
(559) 313-8062
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:160CENSUS: 92DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Jonathan AguilarTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not afford resident privacy.
INVESTIGATION FINDINGS:
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On 05/14/25 Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to open an investigation into the above allegation. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Jonathan Aguliar the Designated Facility Administrator/Executive Director (ED).

The reporting party alleged that a housekeeper did not identify themselves before entering their room on an unscheduled day to service their room. LPA conducted interviews of the parties involved as well as the ED. There were no witnesses in the hallways, and the resident (R1) was alone in their room.

Based on the information obtained, staff did not afford resident privacy was found to be UNSUBSTANTIATED. A finding that the complaint allegation is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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-20250512131619
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: LEGACY OAKS OF SACRAMENTO
FACILITY NUMBER: 342702896
VISIT DATE: 05/14/2025
NARRATIVE
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While conducting interviews, the ED held a stand-up meeting with the staff and management on duty to re-emphasize the importance of knocking loudly and waiting at the door for a response from the resident prior to using a key to enter their room. LPA reminded the ED that these rooms were the homes of the residents and that an increase in communication, both written and verbal, would help to prevent future complaints.

LPA provided technical assistance to the ED regarding the privacy of residents. Although the ED communicated in a Resident Council meeting that new housekeepers/maintenance staff had been hired and were awaiting their background clearances prior to starting work, they were not provided advance written or verbal notice of the exact schedules being changed and did not solicit the input of the residents in care. The ED stated that his primary concern was to ensure that housekeeping services were provided and that standards were being maintained. The ED followed up with a plan to distribute a letter to all residents about the changes thus improving communication.

According to the California Code of Regulations, Title 22, no deficiencies were observed or cited during today's visit. A copy of this report was provided, along with APPEAL RIGHTS.

Exit interview.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2