079200174-12-30-2025-15-AS-BFOG-DQ3URA-20260106144825

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200174
Report Date: 12/30/2025
Date Signed: 12/30/2025 02:03:41 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/23/2025 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20250923154424

FACILITY NAME:	LINDA'S RESIDENTIAL CARE, LLC		FACILITY NUMBER:	079200174
ADMINISTRATOR:	ERLINDA PORTILLO		FACILITY TYPE:	735
ADDRESS:	4605 MENDOTA WAY		TELEPHONE:	(925) 565-5106
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	6	CENSUS: 6	DATE:	12/30/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Luis Fernandez, Administrator		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff caused multiple injuries to client in care
Staff did not provide medication assistance to clients in care
Staff did not provide hygiene care products to clients in care
Staff did not ensure sufficient foods were available at the facility for clients in care
Staff did not provide activities to clients in care

INVESTIGATION FINDINGS:

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On 12/29/25 1:30PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with administrator, gathered information and delivered investigation findings to ADM. LPA explained the purpose of the visit with ADM.

During investigation, the Department obtained the following documents from administrator – personnel record, clients’ roster, admission agreements, IPP/ISP plans, physician reports, needs & services plans, progress notes, incident reports, hospital discharge reports, doctor visits, medication administration records, food receipts.

Continued on next page, LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

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-20250923154424

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: LINDA'S RESIDENTIAL CARE, LLC	FACILITY NUMBER: 079200174
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff caused multiple injuries to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). Staff (S1) denied physically abusing any clients while in care. LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. On prior unannounced visits on 09/25/25 and 11/19/25, LPA observed clients (C1, C2, C3, C4) did not have any visible bruises or scratches on their face, eye area, body, arms or legs. Based on records review, interviews conducted, and observations made, LPA has investigated the above allegation that staff caused multiple injuries to clients in care and found it to be unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff caused multiple injuries to clients in care is unsubstantiated.

Allegation: Staff did not provide medication assistance to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. Review of clients’ medication administration records and centrally stored medication logs dated 08/2025 and 09/2025 showed staff administered C1, C2, C3, C4’s medications as prescribed by their primary care physicians. LPA also reviewed clients’ medical records dated 08/2024 until 09/2025 which showed routine check-up results and medication updates for each client. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide medication assistance to clients in care is unsubstantiated.

Continued on next page, LIC9099-C pg2

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 15-AS-20250923154424

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: LINDA'S RESIDENTIAL CARE, LLC	FACILITY NUMBER: 079200174
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not provide hygiene care products to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. LPA observed clients (C1, C2, C3, C4) clean, well groomed, odor free, nourished and hydrated. On 11/19/25 at 3:40PM, LPA toured the facility and observed each client had sufficient personal hygiene items (shampoo, body wash, soaps, shaving cream, diapers) available for use in the bathroom/bedroom closet storage areas. Staff stated they assisted clients (C1, C2, C3, C4) with their activities of daily living (ADLs - toileting, bathing, grooming, dressing, oral hygiene, meals, medications and incontinence care). Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide hygiene care products to clients in care is unsubstantiated.

Allegation: Staff did not ensure sufficient food was available at the facility for clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA tried to interview clients (C1, C2, C3, C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. LPA observed clients (C1, C2, C3, C4) clean, healthy, well groomed, odor free, nourished and hydrated. On 11/19/25 at 4PM, LPA toured the facility and observed sufficient 2 day perishable and 7 day non-perishable food supplies in the refrigerator/freezer as well as fresh fruits on the countertop and various cereals/snacks/drinks inside the pantry. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not ensure sufficient food was available at the facility for clients in care is unsubstantiated.

Continued on next page, LIC9099-C pg3

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 15-AS-20250923154424

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: LINDA'S RESIDENTIAL CARE, LLC	FACILITY NUMBER: 079200174
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not provide activities to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1, S2). LPA tried to interview clients (C1, C2, C3,C4). However, they were diagnosed with intellectual disability disorders and were unable to answer questions. Staff (ADM, S1, S2) stated that they take clients to their adult day programs, community park events, bowling, shopping, favorite restaurants, stores and doctor's appointments. At 4:30PM on 11/19/25, ADM showed LPA multiple photos of clients attending celebration events and group outings at the ranch, park during birthdays and holidays. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide activities to clients in care is unsubstantiated.

No deficiency cited during visit. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

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