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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920309
Report Date: 06/30/2026
Date Signed: 06/30/2026 04:20:28 PM

Unsubstantiated


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
05/15/2026 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 59-AS-20260515095807
FACILITY NAME:REGENCY RETIREMENT IIFACILITY NUMBER:
345920309
ADMINISTRATOR:BHANGU, JASVIRFACILITY TYPE:
740
ADDRESS:5643 JOHN RUNGE STTELEPHONE:
(916) 945-2122
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:6CENSUS: 6DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Jassi Bhangu and Falwinder RaiTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not ensure facility is clean
Staff rushed resident while eating
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced complaint visit to deliver the results of the allegation above.

LPA interviewed staff, toured facility, interviewed residents, and witnesses. LPA was unable to interview the person in question. The person in question was at the facility for less than three hours. LPA did not find any physical plant issues. Because LPA was unable to interview the person in question and unable to get more details, LPA is unable to determine the findings.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
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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