<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015601380
Report Date: 03/04/2025
Date Signed: 03/04/2025 02:10:16 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/30/2024 and conducted by Evaluator Ardalan Gharachorloo
COMPLAINT CONTROL NUMBER: 15-AS-20241230133642
FACILITY NAME:ALLSTAR RESIDENCEFACILITY NUMBER:
015601380
ADMINISTRATOR:BASA, JUDYFACILITY TYPE:
740
ADDRESS:7875 IRONWOOD DRIVETELEPHONE:
(925) 875-1737
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:6CENSUS: 0DATE:
03/04/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Judy BasaTIME COMPLETED:
02:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Illegal Eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/4/2025 at 11:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct a complaint visit and deliver findings regarding above allegation. LPA explained the purpose of the visit to Licensee Judy Basa.

During the course of the investigation, LPA interviewed the licensee who stated that she did not provide the written eviction notice to R1 as required. LPA also toured the facility. There are currently no residents in care and no staff working at the facility.

Based on LPAs observations and interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D.

Exit interview conducted and a copy of the reports along with appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
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 15-AS-20241230133642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: ALLSTAR RESIDENCE
FACILITY NUMBER: 015601380
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/18/2025
Section Cited
CCR
87224(a)
1
2
3
4
5
6
7
The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required…This requirement is not met as evidence by:
1
2
3
4
5
6
7
The licensee shall review the regulations pertaining to eviction procedures and provide an attestation of understanding letter to CCL by 03/18/2025
8
9
10
11
12
13
14
Based on the interview with the licensee, she did not comply with the section cited above. The eviction notice and reason were not delivered to R1, posing a potential health, safety, or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2