019200867-6-19-2025-15-AS-HHUL-DHYLK6-20250625084900

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200867
Report Date: 06/19/2025
Date Signed: 06/19/2025 01:47:32 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
01/16/2025 and conducted by Evaluator Alicia Delmundo

COMPLAINT CONTROL NUMBER: 15-AS-20250116091702

FACILITY NAME:	GERRYLAIDE MANOR		FACILITY NUMBER:	019200867
ADMINISTRATOR:	CASTRENCE, AIDAN		FACILITY TYPE:	735
ADDRESS:	261 MEDFORD AVE		TELEPHONE:	(510) 278-9766
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY:	32	CENSUS: 0	DATE:	06/19/2025
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Gloria Guitterrez/Staff		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff member (S1) sexually abused resident (R1) in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On this day, June 19, 2025, at 1:15 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to deliver the findings for the above allegation. There's no one at facility. LPA called and spoke with Aidan Castrence, administrator (ADM), and informed the reason for visit. ADM stated he can not come to the facility. LPA requested, and ADM stated he'll have Gloria Guitterrez, staff, come and meet LPA at the facility.

During the course of investigation, the Department obtained copies of LIC9020 Register of Facility Clients/Residents and staff schedule. Copies of resident’s following documents were also obtained: LIC602A Physician’s Report; Individual Program Plan; Unusual Incident Report. Local law enforcement was also involved in the investigation and copy of police report was obtained and reviewed. The following were interviewed: R1’s medical provider (MM) on 2/05/25; R1’s case manager (CM) on 2/05/25; staff (S1) on 2/14/25 and 2/27/25; staff (S2 and S3) on 2/14/25; staff (4), administrator (ADM) and residents (R2 and R3) on 2/27/25; former residents (R4, R5, R6) on 4/14/25
.....continued on 9099C (page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

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 3

Control Number 15-AS-20250116091702

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: GERRYLAIDE MANOR	FACILITY NUMBER: 019200867
	VISIT DATE: 06/19/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2

MM stated that on 2018, R1 told MM that S1 got on top of R1 and kissed R1. MM also stated that R1 disclosed telling S2 of the incident and that S2 seemed mad at R1. MM did not explore R1’s disclosure due to MM not knowing if the incident was reported.

CM stated that R1 started residing in Gerrylaide Manor in August 2016 but left in May 2018. CM stated not knowing of the alleged abuse as R1 never mentioned to CM about it. CM only came to know when MM mentioned to CM the alleged incident.

S1 stated he remembers R1 and that he assisted staff in transferring residents but was never gave shower and changed female residents as instructed by the administrator. S1 stated he transferred R1 by picking R1 up with one of his hands behind R1’s legs and the other hand on R1’s back in the presence of another staff. R1 further stated not having inappropriate interaction with R1 nor accidentally touched R1 inappropriately. S1 denied kissing R1and touching R1’s private parts.

S2 stated that R1 never told S2 that R1 was kissed by S1 and that there were no inappropriate interactions between S1 and R1. S3 stated S1 was a good worker and has not heard anything inappropriate about S1. S4 stated seeing S1 helped in transferring R1 but didn’t observe any problem nor observed S1 sexually engaged with any residents.

ADM stated he never observed S1 and R1 interacted with each other. Male staff only help female residents with transfers and never shower or change female residents. ADM further stated that S1 never engaged sexually with any residents and that R1 never mentioned to him anything regarding a relationship with S1.

....continued on 9099C (page 3)

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 15-AS-20250116091702

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: GERRYLAIDE MANOR	FACILITY NUMBER: 019200867
	VISIT DATE: 06/19/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 3

Review on police report showed R1 provided differing statements on how the event of abuse happened and who were at R1’s room when the incident happened. R1 did not positively identify S1 during the sequential photograph lineup procedure.

Five residents were interviewed, 1 of which stated staff were nice and that S1 was nice to this resident. This resident whom R1 stated being the roommate, said she didn’t have roommate. All these 5 residents did not disclose S1 sexually abused R1.

Based on all the information obtained, there is not a preponderance of evidence to prove that the alleged abuse occurred, therefore the allegation is closed as unsubstantiated.

No deficiency cited.

Exit interview conducted and copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3