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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200678
Report Date: 10/08/2025
Date Signed: 10/08/2025 04:58:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/10/2025 and conducted by Evaluator Grace Luk
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250710161412
FACILITY NAME:G.L.O.M. ARFFACILITY NUMBER:
019200678
ADMINISTRATOR:ISBELL, ANTHONYFACILITY TYPE:
735
ADDRESS:2066 WALNUT STREETTELEPHONE:
(925) 583-5775
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:6CENSUS: 6DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Tyrone Titus, Facility ManagerTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff is not allowing resident to leave the facility
Staff is opening resident's packages without consent
Staff forces resident to be awake
Staff does not provide adequate food service to resident
Staff is not allowing resident to attend church services
INVESTIGATION FINDINGS:
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On 10/8/2025 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver findings in regards to the allegations above. LPA met with Facility Manager, Tyrone Titus and informed him the reason for visit. LPA spoke with Vice President of Operations, Alex Archange over the phone.

During the course of investigation, LPA interviewed 7 clients and 2 staff. LPA reviewed and obtained documents including staff roster with contact information, emergency information, admission agreement, house rules, physician's report, care plan, conservatorship documents, level system information, and facility menus.

Staff is not allowing resident to leave the facility
C1's physician's report stated that C1 cannot leave the facility unassisted. Interview with staff indicated that clients at different levels of the program can leave the facility independently.
(Continue on LIC9099C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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-20250710161412
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: G.L.O.M. ARF
FACILITY NUMBER: 019200678
VISIT DATE: 10/08/2025
NARRATIVE
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Staff is opening resident's packages without consent
Interview with clients revealed that packages are unopen when clients get their packages. Interview with staff indicated that staff does not open client's packages and would ask clients to open the packages in front of staff to ensure no dangerous items are present at the facility.

Staff forces resident to be awake
Interview with clients and staff revealed there is a daily schedule that clients have to follow as it is part of their program. Therefore, the clients are waking up early to complete morning care, chores, breakfast, and take medications prior to attending program on time.

Staff does not provide adequate food service to resident
Interview with clients revealed that the facility provides enough food for the clients to eat.

Staff is not allowing resident to attend church services
Interview with clients revealed that some clients choose not to attend church and some clients have not requested to attend church services.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted with Tyrone Titus and Alex Archangel. A copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2