342702896-7-7-2026-27-AS-SRIN-DWPTRX-20260806145816

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342702896
Report Date: 07/07/2026
Date Signed: 07/07/2026 01:56:46 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
06/25/2026 and conducted by Evaluator Reza Jamaly

COMPLAINT CONTROL NUMBER: 27-AS-20260625141905

FACILITY NAME:	LEGACY OAKS OF SACRAMENTO		FACILITY NUMBER:	342702896
ADMINISTRATOR:	DONNABELL GALICIA		FACILITY TYPE:	740
ADDRESS:	1922 MORSE AVENUE		TELEPHONE:	(916) 482-7745
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	160	CENSUS: 75	DATE:	07/07/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Executive Director Donnabel Alicia		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Managers instruct staff to lie to licensing

INVESTIGATION FINDINGS:

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On 7/7/2026 Licensing Program Analysts (LPAs) Reza Jamaly and Christina Valerio arrived unannounced at this facility to submit the finding of investigation about allegation noted above. LPAs met the Executive Director (ED) Donnabell Galicia and stated the purpose of the visit.
Reporting Party (RP) is anonymous and could not be contacted. To investigate the allegation, LPAs conducted interviews with staff and managers.
On 7/7/2026 LPA Reza Jamaly called staff 1 (S1) and asked about allegation above. S1 stated that S1 is not being instructed by managers to lie to licensing department and has not been witnessed that managers instruct other staff to lie to licensing. S1 added that S1 is working 5 days a week 8 hours each for both assisting living and memory care wings.
On 7/7/2026 LPA Reza Jamaly called staff 2 (S2) and asked about allegation above. S2 stated that S2 is not instructed by managers to lie to licensing and has not been witnessed that managers instructed other staff to lie or give false information.
Continues on LIC 9099C on page 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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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Control Number 27-AS-20260625141905

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: 07/07/2026

NARRATIVE

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S2 also stated that I have heard that it was happening in the past and S2 is new to this job but currently S2 is not witnessing.
S2 added that when the state is here, managers are showing that everything is fine but it is not. LPA asked to give more information or give any instances that things were not fine but reported fine. S2 raised concern about ACs and mentioned that sometimes temperature is above 90 degree, they are using cooler but they are not working properly.

On 7/7/2026 LPA Jamaly interviewed Executive Director (ED) Donnabell about above allegation. ED denied the allegation and stated " that I clearly explained the reporting policy all the time and most recently on staff meeting held on 6/30/2026 I told to the staff that when licensing here, I will put my hands up, if you are asked you should report what you observe and tell the truth. Keep the door open to licensing, they will find what they observe. Licensing is most often here, they will inspect everywhere they want and there is nothing to hide.

Based on the interview with staff and manager, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred, therefore this allegation is UNSUBSTANTIATED. California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held and a copy of report provided to the facility.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC9099 (FAS) - (06/04)

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