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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200952
Report Date: 04/28/2026
Date Signed: 04/28/2026 04:23:36 PM

Substantiated


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
04/20/2026 and conducted by Evaluator Daisy Panlilio
COMPLAINT CONTROL NUMBER: 15-AS-20260420091603
FACILITY NAME:LINDA'S RESIDENTIAL CARE IIIFACILITY NUMBER:
079200952
ADMINISTRATOR:PORTILLO, ERLINDAFACILITY TYPE:
735
ADDRESS:5145 TURNBULL CTTELEPHONE:
(925) 565-5106
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:6CENSUS: 6DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Erlinda Portillo, Administrator
Luis Fernandez, Co-Administrator		TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff are unable to effectively communicate with client in care
INVESTIGATION FINDINGS:
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On 04/28/26 1:10PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with administrators (ADM1, ADM2), gathered information and delivered investigation findings to ADM1, ADM2. LPA explained the purpose of the visit with ADM1, ADM2.

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

Continued on next page, LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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 5
Control Number 15-AS-20260420091603
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 III
FACILITY NUMBER: 079200952
VISIT DATE: 04/28/2026
NARRATIVE
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Allegation: Staff are unable to effectively communicate with client in care
Investigation Finding: Substantiated
During investigation, LPA interviewed staff (ADM, S1, S2) and clients (C1, C2, C3, C4). Clients (C2, C3, C4) confirmed with LPA that some staff have limited English and would often converse in Spanish at the facility and at the ranch. C3 stated that he would translate Spanish to English for the other clients at the facility and at the ranch regularly. Based on LPA’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff are unable to effectively communicate with client in care was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 15-AS-20260420091603
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 III
FACILITY NUMBER: 079200952
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2026
Section Cited
CCR
87411(d)(3)
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All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (3) Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents.
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By POC due date, ADM agrees to have staff capable of communicating with clients in English at the facility ad at the ranch in compliance with Section 87411 regulations.

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This requirement was not met as evidenced by clients' stating that some staff had limited english and had to use another client fluent in English and Spanish to translate for them while in care which posed a potential health & safety risk to clients in care.
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ADM agrees to complete and submit to CCLD staff English competency certificates by POC due date.
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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: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
04/20/2026 and conducted by Evaluator Daisy Panlilio
COMPLAINT CONTROL NUMBER: 15-AS-20260420091603

FACILITY NAME:LINDA'S RESIDENTIAL CARE IIIFACILITY NUMBER:
079200952
ADMINISTRATOR:PORTILLO, ERLINDAFACILITY TYPE:
735
ADDRESS:5145 TURNBULL CTTELEPHONE:
(925) 565-5106
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:6CENSUS: 6DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Erlinda Portillo, Administrator
Luis Fernandez, Co-Administrator		TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff did not ensure that the client’s grooming care needs were properly met
Staff did not provide sufficient activities for clients in care
INVESTIGATION FINDINGS:
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On 04/28/26 1:10PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with administrators (ADM1, ADM2), gathered information and delivered investigation findings to ADM1, ADM2. LPA explained the purpose of the visit with ADM1, ADM2.

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

Continued on next page, LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 15-AS-20260420091603
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 III
FACILITY NUMBER: 079200952
VISIT DATE: 04/28/2026
NARRATIVE
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Allegation: Staff did not ensure that the client’s grooming care needs were properly met
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed reporting party (RP), staff (ADM, S1), clients (C1, C2, C3, C4) and witness (W1). ADM stated that C1 has lived in the facility since 06/17/21 and has not had any issues with personal hygiene. Staff stated that they provide personal care assistance with all their clients such as bathing, dressing, grooming, toileting, meals and medication administration. On 04/18/26, RP and W1 stated they observed C1’s fingernails were over an inch long and a family member clipped his nails during the meeting. W1 stated C1 has a tendency of pulling his fingers away whenever someone tries to clip his fingernails. ADM stated that C1 would pull his fingers away whenever staff tried to clip his fingernails. Other clients (C2, C3, C4) confirmed with LPA that staff assist them with their activities of daily living (ADLs) which include bathing, toileting, dressing, grooming, medication administration, meals and doctors’ appointments. During unannounced visits on 09/23/25, 02/24/26 and 04/28/26, LPA observed clients (C1, C2, C3, C4) well groomed with trimmed fingernails, odor free, clean and comfortable in their surroundings. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not ensure that the client’s grooming care needs are properly met is unsubstantiated

Allegation: Staff did not provide sufficient activities for clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed reporting party (RP), staff (ADM, S1), clients (C1, C2, C3, C4) and witness (W1). RP stated that C1 is not happy because he goes to the facility ranch daily and just sits in a room listening to music. LPA interviewed clients (C2, C3, C4) who stated that they go to the ranch daily and engage in various activities such as walking around in the gardens, petting and feeding the animals, doing arts & crafts or sitting outside when the weather is nice. 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 2:30PM on 04/28/26, ADM showed LPA annual photos of clients attending celebration events at the ranch, park during birthdays and holidays. Aside from going to the facility’s “ranch” daily, clients (C1, C2, C3, C4) confirmed with LPA that staff provide them with various activities such as community outings/events, shopping and going to their favorite restaurants, stores and scheduled doctor’s appointments. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide sufficient activities for clients in care is unsubstantiated.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5