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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342702896
Report Date: 08/27/2026
Date Signed: 08/27/2026 01:59:47 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
01/16/2026 and conducted by Evaluator Kimberly Viarella
COMPLAINT CONTROL NUMBER: 27-AS-20260116171706
FACILITY NAME:LEGACY OAKS OF SACRAMENTOFACILITY NUMBER:
342702896
ADMINISTRATOR:JONATHAN AGUILARFACILITY TYPE:
740
ADDRESS:1922 MORSE AVENUETELEPHONE:
(916) 482-7745
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:160CENSUS: 75DATE:
08/27/2026
UNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:Shrateeka Chand, DesigneeTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Staff did not ensure that pets in the facility received adequate care and supervision.
INVESTIGATION FINDINGS:
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On 08/27/26, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to complete and deliver the findings for the investigation into the above allegation. There were no management staff or front desk/concierge staff present at the facility when this LPA arrived at 8:30 AM, LPA proceeded down the main corridor and located 2 Medication Technicians. LPA identified herself upon and stated the purpose of the visit. Staff contacted management and this LPA went to sit in the front of the building to begin drafting observations. The Director of Memory Care arrived at approximately 9:00 AM and explained that their front desk person was out and they could not find coverage. The ED added, they recently hired a Business Office Manager and another Office Assistance so this sort of thing will not happen in the future.

LPA requested a copy of the resident roster, a copy of the pet policy and list of all residents who owned dogs, as dogs were mentioned specifically in the complaint intake report. This LPA interviewed the Executive Director (ED), Donnabell Galicia, when they arrived. The ED could not produce any documentation regarding incidents or complaints involving dogs biting residents at the facility back in January 2026.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
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-20260116171706
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: 08/27/2026
NARRATIVE
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During the course of this investigation, this LPA reviewed the pet policy and interviewed 3 staff who were working at the time of the incident and 1 of the pet owners still residing at the facility. Out of the 4 individuals interviewed 3 stated that dogs were seen repeatedly off leash and that management did not address the issue. During this LPA's visit today, a dog was observed leaving a resident's room and walking toward the dining room. This was in direct violation of the Pet Policy which states under section 2: "Behavior and Supervision Requirements: Animals must be housebroken, socialized, and free from aggressive behavior(e.g. biting, growling). Pets must remain on a leash or in a carrier when outside a resident's private room and under direct adult supervision. Unsupervised animals are not permitted at any time."

Section 1 Veterinary Clearance and Documentation states that, "All animals must present current vaccination records for rabies, distemper, and other regionally required immunization. Documentation must be submitted before the animal's entry and updated annually." The LPA and ED determined that a thorough review needed to be conducted to ensure that all pet documentation was up-to-date and copies were included in each resident's file.

Based on interviews and observation, the facility has not been adhering to or enforcing its own pet policy. Animals have been in common areas of the facility off-leash, and the facility has not been ensuring that the animals living here are keeping their vaccinations current, therefore the Department found the allegation, "Staff did not ensure that pets in the facility received adequate care and supervision," SUBSTANTIATED.

This deficiency has been cited on the LIC 9099D page. According to the California Code of Regulations, Title 22, no other deficiencies were cited during today's visit, a copy of this report was provided along with APPEAL RIGHTS and an exit interview was conducted with Galicia.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20260116171706
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/10/2026
Section Cited
CCR
87208
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87208 Plan of Operation (a) The licensee shall...maintain a ...plan of operation for the facility...may be cited for not doing so...

The above requirement was not met as evidenced by:
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ED stated that they will have a file review done to ensure all pet vaccinations are up-to-date and on file. ED stated they will request that the leash policy is added to the next resident council agenda. ED will review policy and have pet owners sign off on it. This will be emailed to CCL by 09/10/26
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Based on 3 /4 interviews, dogs are in the common areas of the facility off-leash and Mgmnt has not been checking to ensure all vaccination docs are up-to-date and on file. This poses a potential threat to the health, safety, and personal rights of residents 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: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3