<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201299
Report Date: 04/15/2026
Date Signed: 04/15/2026 10:11:21 AM

Unsubstantiated


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
02/06/2026 and conducted by Evaluator Jill Clancy-Czuleger
COMPLAINT CONTROL NUMBER: 15-AS-20260206122210
FACILITY NAME:STERLING ESTATES, LLCFACILITY NUMBER:
079201299
ADMINISTRATOR:VALERIE SERGEYFACILITY TYPE:
740
ADDRESS:5208 JUDSONVILLE DRIVETELEPHONE:
(925) 808-9778
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:6CENSUS: 6DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Valerie Sergey, Administrator TIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is allowing a pet to defecate on a dining room table
Staff forced resident to take medication
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/13/2026 at 10:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Valerie Sergay.

On the allegation: Staff is allowing a pet to defecate on a dining room table

Based on interviews with staff there was an incident in December where a resident encouraged the dog onto the table with food, and then dog left feces on the table. Staff 1(S1) stated that they were informed as soon as it happened and the staff cleaned it up right away. S1 then stated that ever since that incident the dog has been kept in a crate whenever S1 is not at the facility.

Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 2
Control Number 15-AS-20260206122210
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: STERLING ESTATES, LLC
FACILITY NUMBER: 079201299
VISIT DATE: 04/15/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
...Continued from LIC 9099

On the allegation: Staff forced resident to take medication

Based on interviews, staff will assist residents or encourage them to take medication but will not force them. S2 said that on occasion residents will put the medication in their mouth but will not close their mouth/swallow. S2 said when this happens staff will verbally instruct the resident to close their mouth or will gently touch the residents’ chin to remind them to finish taking the medication. S2 said if the resident has not put the medication in their mouth the staff will provide instruction to do so but will listen if a resident refuses.

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

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2