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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200110
Report Date: 03/03/2026
Date Signed: 03/03/2026 03:30:49 PM

Substantiated


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
02/24/2026 and conducted by Evaluator Tonica Syess-Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20260224120339
FACILITY NAME:AVANCARE ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
079200110
ADMINISTRATOR:CESAR REDOLOSO IIIFACILITY TYPE:
735
ADDRESS:2100 CRISTINA WAYTELEPHONE:
(925) 308-7586
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:6CENSUS: 6DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Romel Diomampo, Direct Support StaffTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff are not answering the facility phone
INVESTIGATION FINDINGS:
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On 03/03/2026 at 2:00PM, Licensing Program Analyst (LPA), T. Syess-Gibson arrived unannounced to conduct an investigation and deliver complaint findings for the allegation above. LPA met with Romel Diomampo, Direct Support Staff and explained the reason for the visit.


During investigation, LPA interviewed staff (S1, S2). Interviews revealed another client at the facility likes to grab the telephone and turn volume down or turn ringer off. S1 stated the telephone’s voicemail box is cleared daily. LPA called facility's telephone number with S2, S3 and observed voicemail box is full and can’t leave a message.


Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted. A copy of this report and appeal rights was given to Romel Diomampo.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
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 2
Control Number 15-AS-20260224120339
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: AVANCARE ADULT RESIDENTIAL FACILITY
FACILITY NUMBER: 079200110
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2026
Section Cited
CCR
85072(b)(3)
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85072 Personal Rights
(b) The licensee shall insure that each client is accorded the following personal rights. (3) To have communications to the facility from his/her relatives or authorized representative answered promptly and completely. This requirement is not met as evidenced by:
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By POC date, Licensee agrees to implement a plan to insure telephone communication to the facility is available, prevention of calls not being answered, and clearing of the voicemail box. Licensee will send plan to CCL via email.
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Based on interviews and observations, licensee did not comply with the section above by not insuring telephone communication to the facility is available at all times which poses/posed a personal rights risk to the persons in care.

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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: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2