019201180-4-2-2026-15-AS-BFOG-DTD2TX-20260421174129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019201180
Report Date: 04/02/2026
Date Signed: 04/02/2026 05:25:46 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
01/30/2026 and conducted by Evaluator Patricia Manalo

COMPLAINT CONTROL NUMBER: 15-AS-20260130142832

FACILITY NAME:	KRISTA & KRIS CORPORATION		FACILITY NUMBER:	019201180
ADMINISTRATOR:	ALFONSO, AMELIA		FACILITY TYPE:	735
ADDRESS:	5541 ROOSEVELT PLACE		TELEPHONE:	(650) 255-9603
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	6	CENSUS: 5	DATE:	04/02/2026
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Amelia Alfonso, Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Illegal Eviction
Staff did not prevent client in care from touching other clients inappropriately
Staff did not provide proper supervision to clients in care

INVESTIGATION FINDINGS:

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

On 04/02/2026 at 1:55 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to deliver the findings on the above allegations. LPA met with Administrator, Amelia Alfonso and explained the purpose of the visit.

During the course of the investigation, LPA interviewed staff, clients, and witnesses.

LPA obtained documents including but not limited to Client Roster, Staff Schedule, Emergency Information Face Sheet, Individual Program Plan Agreement, Individual Program Plan (IPP), Incident Reports, Physician Report, Individual Service Plan, and Personal Rights.

Continue to LIC9099-C…

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

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 3

Control Number 15-AS-20260130142832

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: KRISTA & KRIS CORPORATION	FACILITY NUMBER: 019201180
	VISIT DATE: 04/02/2026

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

Continued from LIC9099…

Allegation: Illegal Eviction

It was alleged that Illegal Eviction. Emails from W1 dated 01/29/2026 revealed that C1 and W2 wanted to go back to the facility to check on C1’s room and facility staff were hesitant to open the door for C1 and W2. Interview with W2 indicated that it was agreed to have C1 stay at home with W2 until the other investigation in the facility has concluded. W2 has confirmed that there was no official eviction notice given to W2 and C1. Email with Regional Center of East Bay (RCEB) case manager revealed that C1 returned to the facility on 02/23/2026. On 02/27/2026, LPA observed that C1 was in C1’s room and interview with C1 with W2 confirmed that C1 returned to the facility on 02/23/2026.

Allegation: Staff did not prevent client in care from touching other clients inappropriately

It was alleged that Staff did not prevent client in care from touching other clients inappropriately. Emails from W1 dated 02/04/2026 and interview with C1 and W2 revealed that C1 stated that C2 has hit and touched C1 inappropriately. A review of an incident report dated 09/07/2025 showed that C1 and C2 had an altercation in which C2 attempted to hit C1, however staff intervened between the two clients and separated the two. Per incident report, C1 did not get hit. Interview with S3 revealed that another incident happened when C1 and C2 were arguing and S3 got in the middle of them. C2 punched the door but C1 said that C2 punched C1 instead. C2 stated that, “I never hit another client.” 3 of 4 staff members that were interviewed revealed that they have not witnessed any clients touching other clients inappropriately. Interview with 3 of 4 clients all stated that they have not seen any clients touch another client inappropriately.

Allegation: Staff did not provide proper supervision to clients in care

It was alleged that Staff did not provide proper supervision to clients in care. Email from W1’s dated 02/04/2026 showed that during W1's visit, S2 was observed to be eating and watching tv and S4 was just standing there until the other clients arrived from their day program.

Continue to LIC9099-C...

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 15-AS-20260130142832

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: KRISTA & KRIS CORPORATION	FACILITY NUMBER: 019201180
	VISIT DATE: 04/02/2026

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

Continued from LIC9099-C...

Per email from W1, most of the clients were not at the facility and only C5 was there in their room. W1 also stated that it was observed that staff were not checking on C5 during their visit. A review of 4 of 5 clients’ IPP showed that they are independent with their Activities of Daily Livings (ADLs) and interviews with 3 of 4 clients all stated that they are independent, such as showering by themselves and that staff assist them with things such as cooking. Interview with S2 stated that C2 and C3 will attend day programs throughout the day, while C5 will only attend day program in the afternoon for an hour. S2 and S4 both revealed that they will check on C5 occasionally, however, C5 will usually come out and ask the staff if C5 needs something.

Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3