019200900-5-12-2026-15-AS-LFRO-DVVJ42-20260711064223

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200900
Report Date: 05/12/2026
Date Signed: 05/12/2026 02:14:05 PM

Unsubstantiated

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
02/08/2026 and conducted by Evaluator Ardalan Gharachorloo

COMPLAINT CONTROL NUMBER: 15-AS-20260208221228

FACILITY NAME:	AMADOR		FACILITY NUMBER:	019200900
ADMINISTRATOR:	TANYA M BARRETO		FACILITY TYPE:	735
ADDRESS:	7137 AMADOR VALLEY BLVD		TELEPHONE:	(925) 248-2148
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	4	CENSUS: 4	DATE:	05/12/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Ramon Romo, Administrator		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Staff did not prevent a client from engaging in inappropriate sexual behavior.

INVESTIGATION FINDINGS:

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On 05/12/2026 at 10:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to continue the investigation and deliver findings in regard to the allegation above. LPA met with Ramon Romo,the Administrator and explained the purpose of the visit.

Allegation: Staff did not prevent a client from engaging in inappropriate sexual behavior - Unsubstantiated

During the course of the investigation, the Licensing Program Analyst (LPA) conducted interviews with three staff (S1-S3), W1, and reviewed three staff files (S1-S3) and two Clients files (C1,C2). S1 stated that staff were made aware of a prior consensual relationship between C1 and C2; however, S1 denied witnessing any exchange of money between the clients. LPA interviewed S2 and S3 who also stated that they did not witness the exchange of money between the clients.

***CONTINUE ON 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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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Control Number 15-AS-20260208221228

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: AMADOR	FACILITY NUMBER: 019200900
	VISIT DATE: 05/12/2026

NARRATIVE

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***CONTINUE FROM 9099***

S1 further stated that," in an effort to implement additional safeguards and reinforce appropriate boundaries, a safety protocol agreement was developed by the facility’s Board Certified Behavior Analyst (BCBA), reviewed by Regional Center Case Manager, and discussed and signed by both C1 and C2. The agreement outlined expectations regarding consent, personal boundaries, and prohibited exchanges involving money for sexual favors". LPA reviewed the Copies of the signed safety protocols dated September 8, 2025 during the investigation.

LPA reviewed LIC 500 personnel report, The facility roster, resident records for C1 and C2, and staff records for S1, S2, and S3, including staff log. Training log for three staff were up to date. Information obtained during interviews and record reviews revealed that the facility had implemented measures intended to address resident safety, consent, and supervision concerns related to interactions between C1 and C2. review of documents further indicated that the safety protocol had been shared with both clients’ case managers and reviewed during a 270-day post-placement meeting.

This agency has investigated the allegation above. We have found that the allegation was unsubstantiated. 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, and a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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