345920268-8-12-2026-59-AS-LMUZ-DWXQLY-20260814121643

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345920268
Report Date: 08/12/2026
Date Signed: 08/12/2026 05:55:33 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
08/11/2026 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20260811125937

FACILITY NAME:	GRAND DIGNITY HOMES		FACILITY NUMBER:	345920268
ADMINISTRATOR:	KHAIRA, VEERPAL		FACILITY TYPE:	740
ADDRESS:	4811 WHITE PINE COURT		TELEPHONE:	(916) 373-3255
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	6	CENSUS: 5	DATE:	08/12/2026
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Veerpal Khaira, Administrator		TIME COMPLETED:	06:10 PM

ALLEGATION(S):

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-Staff do not maintain facility sanitary

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrator, Vee Khaira, to open and deliver complaint investigation findings regarding the above stated allegation.

During today's visit LPA toured the facility, conducted interviews, and reviewed video surveillance.

On August 12, 2026, LPA conducted an inspection of the care home and observed the care home to be clean, safe, sanitary and in good repair. All trash bins, including all outdoor garbage containers, had lids. There are currently no residents with diabetes that require disposal of sharp materials. Interviews with Administrator and staff (S1) indicated that the facility has not had any epidemic outbreaks or infectious diseases requiring the implementation of their Infection Control Plan LIC9282. All usage of PPE gloves are for assisting residents with their activities of daily living (ADLs). Interviews conducted indicated that the facility hired a junk removal service to take out extra garbage and recycle as needed
**********************************************Continued on LIC9099-C***********************************************

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

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 59-AS-20260811125937

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GRAND DIGNITY HOMES	FACILITY NUMBER: 345920268
	VISIT DATE: 08/12/2026

NARRATIVE

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approximately once per month. According to the junk removal service invoice dated August 12, 2026, the facility utilized junk removal services on three occasions.

LPA received a photo of a glove on the sidewalk with the complaint indicating that it was taken on August 6, 2026. LPA reviewed video surveillance of the care home on August 5, 2026 and August 6, 2026 and observed that the Administrator took the two outdoor garbage containers with lids and recycling container with lid to the sidewalk for trash removal. No trash was observed to be outside of the containers. Interview with Administrator and S1 indicated that the trash pick up day is every Thursday in the morning. LPA observed that Waste Management arrived at the care home at 8:53am on August 6, 2026 to dump the containers. Video surveillance shows that the next time there was movement in front of the care home was at 10:05am and a glove was observed on the sidewalk with a person walking past. At 10:14am, video surveillance shows the Administrator pick up the glove, put it in the garbage container, and bring the garbage containers up the driveway to the side of the care home. The glove did not appear to be soaked or stained with any visible biohazardous materials.

Based on observations, interviews conducted, and documentation obtained, the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or are without a reasonable basis. No deficiencies are being cited.
Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

LIC9099 (FAS) - (06/04)

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