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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201278
Report Date: 10/14/2025
Date Signed: 10/14/2025 03:55:37 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
07/17/2025 and conducted by Evaluator Tonica Syess-Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250717144228
FACILITY NAME:DELANEY HOMEFACILITY NUMBER:
079201278
ADMINISTRATOR:SANTOS, CHARLIEFACILITY TYPE:
735
ADDRESS:524 MARATHON DRIVETELEPHONE:
(925) 849-7743
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY:4CENSUS: 4DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Merlie Sangalang, Direct Support StaffTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff hit resident.
Staff threatened resident.
INVESTIGATION FINDINGS:
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On 10/14/2025 at 11:00AM, Licensing Program Analyst (LPA), T. Syess-Gibson arrived unannounced to conduct an investigation and deliver complaint findings for the allegations above. LPA met with Merlie Sangalang, Direct Support Staff and explained the reason for the visit. Charlie Santos, Administrator arrived, and LPA advised him to visit.

During the course of the investigation, LPA reviewed, obtained C1’s records and interviewed witness (W1), client (C1) and staff (S1, S2, S3). Interview with C1 revealed no one hits him or has threatened him and that he likes loves living at the home.

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

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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-20250717144228
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: DELANEY HOME
FACILITY NUMBER: 079201278
VISIT DATE: 10/14/2025
NARRATIVE
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Continued from LIC9099


Interviews with (S2) and (S3) revealed during the van ride (C1) was sitting alone in the far rear seat in the back of the van. Interviews also revealed S2 and S3 were the only staff members riding in the van with the three (3) clients during the van ride on 07/05/2025. Record review revealed, C1 has a history of fabrication of stories and is triggered when redirected and will have a tantrum when redirected or perceived lack of control.


Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.


Exit interview conducted and a copy of report was given to Charlie Santos.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2