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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201268
Report Date: 05/01/2025
Date Signed: 05/01/2025 02:36:37 PM

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
04/25/2025 and conducted by Evaluator Tonica Syess-Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250425143224
FACILITY NAME:G & O RESIDENTIAL CARE, INCFACILITY NUMBER:
079201268
ADMINISTRATOR:GARCIA, OVILIO BARRIOSFACILITY TYPE:
735
ADDRESS:1550 LARKSPUR CTTELEPHONE:
(925) 565-5731
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY:4CENSUS: 2DATE:
05/01/2025
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Ovilio Barrios, AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff do not speak to clients with dignity and respect
Staff did not ensure a comfortable environment was provided for client
INVESTIGATION FINDINGS:
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On 05/01/2025 at 10:01AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegations above. LPA met with Administrator, Ovilio Barrios and informed the reason for the visit.

During the course of investigation, LPA interviewed complainant, one (1) client and two (2) staff members. LPA reviewed and obtained documents including C1’s emergency information, IPP and Dangerous Propensity. Interviews with S1 and S2 indicated that C1 doesn’t want her medications locked and wants full access to medications. S1 and S2 also stated during interview clients with respect and dignity. Interviews with C1 indicated she doesn’t want her medications in a locked cabinet and does not want the signs throughout the facility on the walls, it makes her feel uncomfortable.

Continue on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
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-20250425143224
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: G & O RESIDENTIAL CARE, INC
FACILITY NUMBER: 079201268
VISIT DATE: 05/01/2025
NARRATIVE
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Continue from LIC9099



C1 also stated during interview, she feels safe, and likes staff. LPA toured the facility and observed medications in a locked cabinet located in the kitchen, and the following signs on the walls throughout the facility: (Rights of Individuals with Developmental Disabilities, PUB 475 and Personal Rights.)


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


No deficiencies are being cited on this date.


Exit interview conducted. A copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2