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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200890
Report Date: 06/30/2026
Date Signed: 06/30/2026 04:09:44 PM

Substantiated


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
03/13/2026 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20260313144650
FACILITY NAME:CALANDRIA RESIDENTIAL CARE HOME INCFACILITY NUMBER:
019200890
ADMINISTRATOR:WAUGH, RONDIEFACILITY TYPE:
735
ADDRESS:2457 65TH AVENUETELEPHONE:
(510) 626-4911
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:6CENSUS: 6DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Janice Fields, Care Giver TIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff do not allow resident to use the restroom
INVESTIGATION FINDINGS:
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On 6/30/26 at 1:40 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings on the above allegation. LPA met with Caregiver, Janice Fields, and explained the purpose of the visit. Administrator (ADM) Rodnie Waugh was unavailable during the visit. LPA spoke with ADM via phone, explained the purpose of the visit, and received verbal permission for Janie Fields to sign the report.

It was alleged that staff do not allow residents to use the restroom. During the course of the investigation, LPA conducted interviews with clients and staff and obtained relevant information regarding the allegation that staff does not allow residents to use the restroom. Client interviews revealed consistent statements indicating that clients were not permitted to access the restroom when requested. C1 and C2 reported that staff required clients to wait extended periods before being allowed to use the restroom and, on certain occasions, denied requests altogether.

Report continued on LIC 9099c...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
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 5
Control Number 15-AS-20260313144650
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: CALANDRIA RESIDENTIAL CARE HOME INC
FACILITY NUMBER: 019200890
VISIT DATE: 06/30/2026
NARRATIVE
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Report continued LIC 9099c...

C1 and C2 stated, “The staff would use a chair to block the door and prevent them from using the bathroom”. C1 stated, “Sometimes I have to bang on the door really hard for the staff to open the door”. C3 stated, “I heard loud banging from downstairs at nighttime.” C2 stated, “I have to use the bathroom a lot, and it bothered the staff when I used the bathroom, so the staff uses the chair to block me from opening the door”.

Interviewed with Staff 1 (S1), Staff 3 (S3), and Staff 4 (S4), who acknowledged that residents were not able to use the bathroom. S1, S3, and S4 stated they did not witness the incidents but believed the client was telling the truth.

Based on the interviews, the preponderance of the evidence standard has been met; therefore, the allegation that staff did not allow the residents to use the restroom is substantiated.

Deficiency is cited under the California Code of Regulations listed on LIC 9099-D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.



A copy of this report, and appeal right is being provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 15-AS-20260313144650
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: CALANDRIA RESIDENTIAL CARE HOME INC
FACILITY NUMBER: 019200890
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2026
Section Cited
CCR
80072(a)(2)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:

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Administrator agrees to conduct an in-service training for all staff regarding resident rights, dignity, personal care assistance, supervision requirements, and timely access to restroom facilities. Training documentation, including staff signatures and training materials, shall be submitted to CCLD by the POC due date of 7/10/26.
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Based on interviews, observations, and record review, it was determined that staff did not allow the resident to access the restroom, including blocking the doorway and thereby preventing the resident from using the bathroom.
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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: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
03/13/2026 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20260313144650

FACILITY NAME:CALANDRIA RESIDENTIAL CARE HOME INCFACILITY NUMBER:
019200890
ADMINISTRATOR:WAUGH, RONDIEFACILITY TYPE:
735
ADDRESS:2457 65TH AVENUETELEPHONE:
(510) 626-4911
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:6CENSUS: 6DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Janice Fields, Care Giver TIME COMPLETED:
04:25 PM
ALLEGATION(S):
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2
3
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9
Staff handled resident in a rough manner
INVESTIGATION FINDINGS:
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On 6/30/26 at 1:40 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings on the above allegation. LPA met with Caregiver, Janice Fields, and explained the purpose of the visit. Administrator (ADM) Rodnie Waugh was unavailable during the visit. LPA spoke with ADM via phone, explained the purpose of the visit, and received verbal permission for Janie Fields to sign the report.

During the course of the investigation, LPA interviewed Clients 1 (C1), Client 2 (C2), and Client 3 (C3), as well as staff members. It was alleged that the staff handled the resident roughly. However, when interviewed, clients 1 (C1), 2 (C2), and 3 (C3) all stated that staff did not handle them roughly.

Report continued on LIC 9099c...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 15-AS-20260313144650
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: CALANDRIA RESIDENTIAL CARE HOME INC
FACILITY NUMBER: 019200890
VISIT DATE: 06/30/2026
NARRATIVE
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C2 stated that “staff did not handle C2 in a rough manner”. C1 stated, “No, I did not witness any staff handle any resident in a rough manner”. C3 stated that “no staff member handles anyone here in a rough manner”.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted; a copy of this report provided
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5