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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340318075
Report Date: 12/30/2025
Date Signed: 12/30/2025 04:22:55 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
12/24/2025 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20251224085505
FACILITY NAME:SUNSHINE GLORY CARE HOMEFACILITY NUMBER:
340318075
ADMINISTRATOR:AGUDA, MERLYFACILITY TYPE:
740
ADDRESS:9845 ALTA MESA ROADTELEPHONE:
(916) 687-7874
CITY:WILTONSTATE: CAZIP CODE:
95693
CAPACITY:12CENSUS: 10DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Merly AgudaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Uncleared staff providing care to residents.
INVESTIGATION FINDINGS:
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On 12/30/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to initiate the complaint investigation. LPA met with staff on duty (S1) and notified the Administrator. The Administrator, Merly Agula (AD) arrived shortly after. LPA explained the nature of this complaint.
The details of the complaint alleging that the Administrator is allowing an individual t provide care to the residents and under a false name and without proper background clearance.
Throughout this investigation, LPA conducted observation, interviews and record reviews. LPA observed staff, S2, a maintenance worker, interacting with residents during the visit. LPA also observed a red van parked in the facility driveway. Through interviews, LPA confirmed that the van belongs to S2 and that S2 sleeps in the van while on the property.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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-20251224085505
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: SUNSHINE GLORY CARE HOME
FACILITY NUMBER: 340318075
VISIT DATE: 12/30/2025
NARRATIVE
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LPA reviewed facility records, including the facility file, prior complaints, and the personnel roster (LIC 500). LPA also conducted a search in Guardian to determine whether an individual (S6 ), or any similar name, was associated with the facility or held an active background clearance. S6 was disassociated from this facility in 5/1/2019. A review of a previous licensing reports confirmed that S6 was involved in a substantiated complaint in 2018 regarding the sexual assault of a resident. Administrator provided the current LIC 500, staff schedule, and personnel files for all staff currently employed. Administrator stated that S6 is a former staff member and has not worked at the facility since 2018.
LPA conducted a walkthrough of the facility and observed two care staff on duty and two maintenance worker on duty. LPA verified the identity of each care staff member present by reviewing government issued identification and comparing names to Guardian and the LIC 500. All care staff present were associated to the facility and had active background clearances. The identity of the 2 maintenance workers could not identified with their government issued identification, as they were not able to provide at this time.
Interviews confirmed that the two maintenance workers, including S2, do not have background clearance through Guardian. Staff also confirmed that S2 sometimes performs maintenance tasks and housekeeping chores inside the facility. Interviews with staff (S1 and S2) revealed that S2 slept on the facility property on the night of 12/29/25, inside S2’s red van. The Administrator denied having knowledge that S2 slept on the property that night.
Interviews with staff and residents confirmed that S2 does not provide personal care to residents. Interviews also reported that S2 performs maintenance work inside the facility, doing housekeeping work and sometimes watch TV with residents.
Based on interviews, record reviews and observations, evidence collected does not sufficiently show that staff, S2, is providing personal care to residents in care. Additionally, there is no sufficient evidence to show that a former care staff member, S6, still works at this facility. Finally, there is no sufficient evidence to conclude that S2 is the same person as S6. Therefore, the allegation that an uncleared staff providing care to residents is unsubstantiated. A finding that the complaint 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.
Per CCR (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Advisories were provided. An exit interview was conducted, and a copy of this report was provided.
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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2