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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075601406
Report Date: 11/14/2022
Date Signed: 11/14/2022 02:59:07 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 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
11/08/2022 and conducted by Evaluator Catherine Lin
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20221108162537
FACILITY NAME:LA CASA VERDEFACILITY NUMBER:
075601406
ADMINISTRATOR:ALCANTARA, LEONARDOFACILITY TYPE:
740
ADDRESS:1405 CAMINO VERDETELEPHONE:
(925) 285-5078
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:6CENSUS: 2DATE:
11/14/2022
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Leonardo Alcantara, AdministratorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal right
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/14/22 at 1:25pm, Licensing Program Analyst (LPA) Catherine Lin conducted an unannounced initial 10-day complaint investigation visit regarding the above allegation and delivered investigation findings. LPA met with Administrator and explained the purpose of the visit.

The Department has investigated this allegation and per record review, interviews, and observation found that R1 and R2 were laughing while talking to Administrators during investigation visit. R1 stated that facility was quiet, safe, comfortable, staff were kind, and food was good. R2 stated that facility was nice and clean, and staff was good. Staff member S1 and S2 couldn't think of any unusual things recently. No witness or other information indicated that staff member is violating personal right. Therefore, the allegation is unsubstantiated.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
No deficiency cited, exit interview conducted with administrator, and a copy of this report provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) 622-2621
LICENSING EVALUATOR NAME: Catherine LinTELEPHONE: 510-622-2053
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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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