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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200940
Report Date: 08/08/2025
Date Signed: 08/08/2025 11:07:11 AM

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
02/20/2025 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20250220114249
FACILITY NAME:NEW ALAMO RESIDENCE HOMEFACILITY NUMBER:
079200940
ADMINISTRATOR:SAXENA, MEERANFACILITY TYPE:
740
ADDRESS:836 STONE VALLEY RDTELEPHONE:
(925) 743-1565
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:6CENSUS: 6DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Licensee, Meeran SaxenaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not maintain a comfortable temperature for residents
Staff did not provide resident(s) with adequate food services.
INVESTIGATION FINDINGS:
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On 8/8/2025 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Licensee, Meeran Saxena and explained the purpose of the visit.

During the investigation, LPA conducted interviews, toured facility, and reviewed files. On 2/21/2025 LPA interviewed S1 and S2. Durring LPA's visit on 2/21/2025 LPA observed the facility temprature at 64 degrees F and that the facility did not have the required 2 days of perishables and 7 days of non- perishable foods.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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 5
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
02/20/2025 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20250220114249

FACILITY NAME:NEW ALAMO RESIDENCE HOMEFACILITY NUMBER:
079200940
ADMINISTRATOR:SAXENA, MEERANFACILITY TYPE:
740
ADDRESS:836 STONE VALLEY RDTELEPHONE:
(925) 743-1565
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:6CENSUS: 6DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Licensee, Meeran SaxenaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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2
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9
Staff threw an item at resident.
Staff spoke to resident in an inappropriate manner.
Staff solicited a monetary gift from resident.
INVESTIGATION FINDINGS:
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On 8/8/2025 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Licensee, Meeran Saxena and explained the purpose of the visit.

During the investigation, LPA conducted interviews, toured facility, and reviewed files. On 2/21/2025 LPA interviewed S1 and S2.

Report continues on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 15-AS-20250220114249
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: NEW ALAMO RESIDENCE HOME
FACILITY NUMBER: 079200940
VISIT DATE: 08/08/2025
NARRATIVE
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Pertaining to allegations: Staff threw an item at resident, Staff spoke to resident in an inappropriate manner, and Staff solicited a monetary gift from resident.

On 2/21/2025 LPA interviewed S1 who stated that they have not heard any staff speak to residents inappropriately. LPA gave examples of what might be inappropriate comments/conversations and S1 maintained that they have not witnessed that behavior. S1 also stated that no staff have ever thrown any items at residents or requested monetary gifts. S1 stated that sometimes around the holidays families will give small gifts to staff but never the residents. On the same day LPA interviewed S2 who stated that they have never observed staff throw any items at residents. S2 did confirm that they have witnessed staff speak to residents inappropriately and ask for gifts but that they believe that when staff asked for gifts it was in a joking manner. Although S2 confirmed that they have witnessed other staff speak to residents inappropriate S2 did not provide specific staff which brought into question their credibility. LPA did not witness any staff speaking to residents inappropriately during any visits. LPA briefly spoke with R1 an annual visit who expressed happiness at the facility and had no complaints. LPA was unable to interview other residents due to their cognitive abilities. Therefore the allegations are UNSUBSTANTIATED.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 15-AS-20250220114249
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: NEW ALAMO RESIDENCE HOME
FACILITY NUMBER: 079200940
VISIT DATE: 08/08/2025
NARRATIVE
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LPA did conduct subsequent visits and observed that the temperature was within the 68-85 degree Fahrenheit range and that the facility had purchased additional food. Therefore the above allegations are SUBSTANTIATED.

Based on LPAs observations and interviews which were conducted 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. Appeal Rights and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 15-AS-20250220114249
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: NEW ALAMO RESIDENCE HOME
FACILITY NUMBER: 079200940
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
87303(b)(1)
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(b) A comfortable temperature maintained at all times.(1)The facility shall...minimum of 68 degree F, (20 degrees C).

This requirement is not met as evidence by:
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Facility has removed the automatic temprature adjustment and now the facility is the correct temprature POC clear
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Based on observation, the licensee did not comply with the section cited above. On 2/21/25 LPA observed the facility temprature at 64 degrees F which posed a potential personal rights risk to persons in care.
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Type B
08/08/2025
Section Cited
CCR
87555(b)(26)
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(b) The following...shall apply:(26)Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained...

This requirement is not met as evidence by:
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The facility has purchased additional food. POC clear
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Based on observation, the licensee did not comply with the section cited above. LPA observed that the facility did not have the required 2 days of perishables and 7 days of non- perishable foods. which posed a potential personal rights risk to 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: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5