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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701578
Report Date: 12/10/2025
Date Signed: 12/10/2025 01:29:23 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
10/13/2025 and conducted by Evaluator Shakaricka Hughes
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20251013212104
FACILITY NAME:LOVING LEGACY SENIOR CARE IIFACILITY NUMBER:
342701578
ADMINISTRATOR:BANUVE, VENIANAFACILITY TYPE:
740
ADDRESS:6532 RANCHO GRANDE WAYTELEPHONE:
(279) 229-7719
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:6CENSUS: 5DATE:
12/10/2025
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Facility Administrator: Veniana BanuveTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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5
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9
Staff physically abused resident while in care.
INVESTIGATION FINDINGS:
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5
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On 12/10/2025 at 9:30 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with the facility administrator Veniana Banuve and explained the purpose of the visit. The purpose of this visit is to deliver complaint findings for the allegation above. The current census is 5. A brief interview with conducted with Veniana.

Allegation: Staff physically abused resident while in care.
It was alleged that staff physically abused a resident while in care. This investigation consisted of interviews with facility staff and residents, and records review. On 10/14/2025 LPA Hughes conducted a visit to the facility and interviewed 1 facility staff who reported being accused of physically assaulting resident (R2). Facility staff (S1) stated that law enforcement had been contacted and responded to the allegation. During an interview with resident (R2), the resident was unable to confirm whether any additional residents observed the incident.
Continuation 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
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-20251013212104
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: LOVING LEGACY SENIOR CARE II
FACILITY NUMBER: 342701578
VISIT DATE: 12/10/2025
NARRATIVE
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An interview with an additional resident indicated that they had not observed any residents being physically assaulted in the facility. LPA attempted to interview (2) residents in care but both residents declined to be interviewed. A review of records, including a statement made by law enforcement, showed that resident (R2) could not corroborate who witnessed the assault and did not have any signs of bruising consistent with being physically harmed by facility staff. Due to insufficient evidence this allegation could not be corroborated at this time, the allegation is unsubstantiated.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegation are found to be UNSUBSTANTIATED. A finding that the complaint allegation are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2