347000008-9-9-2026-59-AS-TORZ-DYLTA9-20261006143311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347000008
Report Date: 09/09/2026
Date Signed: 09/09/2026 03:22:41 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
07/16/2026 and conducted by Evaluator Kevin Mknelly

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20260716154628

FACILITY NAME:	MERAKI OF SACRAMENTO		FACILITY NUMBER:	347000008
ADMINISTRATOR:	SHAW-CAMACHO, SAMANTHA		FACILITY TYPE:	740
ADDRESS:	4941 TYLER STREET		TELEPHONE:	(916) 348-9316
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95841
CAPACITY:	12	CENSUS: 10	DATE:	09/09/2026
		UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Samantha Shaw		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff illegally evicted resident.

INVESTIGATION FINDINGS:

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On 9/9/26, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings.
LPA reviewed facility records, and conducted interviews.
LPA finds that facility met Tittle 22 requirements.
R1 had been sent to the hospital for extreme behaviors. When the ER attempted to return R1 without thorough diagnosis and stabilization, staff called emergency services again. Facility staff were requesting hospital thoroughly assess R1 and stabilize them before R1 in returned to the RCFE. While R1 was hospitalized, facility staff worked with a pacement agent to facilitate R1's return and found that R1 had been discharged to another facility. R1 was not evicted by this RCFE.
This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.
Exit interview conducted and report provided.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

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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