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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201127
Report Date: 05/15/2025
Date Signed: 05/15/2025 11:09:49 AM

Unsubstantiated


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
02/06/2025 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20250206123139
FACILITY NAME:ALAMO RESIDENCE HOMEFACILITY NUMBER:
079201127
ADMINISTRATOR:ENRIQUEZ, JOY MANALANGFACILITY TYPE:
740
ADDRESS:2978 MIRANDA AVETELEPHONE:
(408) 449-8044
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:6CENSUS: 6DATE:
05/15/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Staff, Millet De Lumen TIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Facility failed to provide reimbursement of community fee
Facility is not heated to the required temperature
INVESTIGATION FINDINGS:
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On 5/15/2025 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Staff, Millet De Lumen. Administrator was unable to attend visit and approved over the phone for staff to sign the report.

During the investigation, LPA conducted interviews, toured facility, and reviewed files. On the allegations Facility failed to provide reimbursement of community fee and Facility is not heated to the required temperature the following was found.

Report continues on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
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 2
Control Number 15-AS-20250206123139
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: ALAMO RESIDENCE HOME
FACILITY NUMBER: 079201127
VISIT DATE: 05/15/2025
NARRATIVE
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LPA visited the facility on 2/20/2025, 4/30/2025, and 5/15/2025 and observed on each visit that the facilities temperature was within regulation range. LPA also interviewed R2, who stated that sometimes they feel cold in the facility however they have a space heater and will put on long sleeves if cold. LPA observed that each residents room has a space heater available for use. LPA also reviewed the original hard copy of the admissions agreement for R1 and saw that the admissions agreement stated the monthly rate was $9000 and that there was a non-refundable move in fee of $500. LPA observed that a refund check was issued on 12/2/2024 in the amount of $8709. R1 was a resident of the facility from 11/27/2024 to 12/1/2024 (a total of 5 days). Upon move in R1's representative paid $1,700 which included a pro rate of $300 per day and a non-refundable move in fee of $500. For the month of December's rent, $9000 was charged. LPA observed that the pro rate amount per day for December was approximately $290. The refund check reflects that R1's representative was issued the correct amount. Therefore the above 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 to the facility.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025
LIC9099 (FAS) - (06/04)
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