019201180-6-17-2026-15-AS-BFOG-DVUM3L-20260710091517

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019201180
Report Date: 06/17/2026
Date Signed: 06/17/2026 03:53:53 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
04/20/2026 and conducted by Evaluator Patricia Manalo

COMPLAINT CONTROL NUMBER: 15-AS-20260420094038

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:	06/17/2026
		UNANNOUNCED	TIME BEGAN:	03:20 PM
MET WITH:	Kristoffer Alatas, Direct Care Staff		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Staff did not prevent residents from engaging in a physical altercation

INVESTIGATION FINDINGS:

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On 06/17/2026 at 3:20 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to deliver the findings for the above allegation. LPA met with Direct Care Staff, Kristoffer Alatas and explained the purpose of the visit. Administrator, Amelia Alfonso, gave verbal authorization for staff to sign the report.

During the course of investigation, LPA obtained and reviewed documents including but not limited to the clients' ongoing progress notes, email correspondence, special incident reports, staff schedule, and staff contact information.

LPA conducted interviews with ADM, 7 staff members, 4 clients, and witness.

Continue to LIC9099-C…

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

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-20260420094038

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: 06/17/2026

NARRATIVE

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Continued from LIC9099...

Allegation: Staff did not prevent residents from engaging in a physical altercation.

It was alleged that staff did not prevent residents from engaging in physical altercation. Interview with C2 indicated that C2 has not spoken to C1 or goes near C1 while in the facility. C2 stated that C2 tries to avoid C1, and C2 has not entered C1’s room as of recent. However, C1 indicated that C2 has threatened C1 with a fork and knife before. Interview with 7 of 7 staff members all indicated that they have never seen any clients hit or touch each other. Additionally, 6 of 7 staff members interviewed stated that they have not observed C1 and C2 speak to each other as of lately. S2 and S4 stated although C1 and C2 were both on the couch in the living room, there were staff members that were sitting in the middle of C1 and C2. S1, S2, S4, and S5 all confirmed that they did not observe or hear C1 and C2 fighting. Additionally, C3 and C4 stated that they have not observed any clients hit each other before.

Based upon the interviews conducted during investigation. The above allegation that staff did not prevent residents from engaging in physical altercation is 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: 06/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

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