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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201491
Report Date: 11/07/2025
Date Signed: 11/07/2025 09:45:58 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
08/11/2025 and conducted by Evaluator Jill Clancy-Czuleger
COMPLAINT CONTROL NUMBER: 15-AS-20250811145342
FACILITY NAME:STERLING ESTATES CONCORD LLCFACILITY NUMBER:
079201491
ADMINISTRATOR:SERGEY, VALERIEFACILITY TYPE:
740
ADDRESS:2930 LANE DRIVETELEPHONE:
(925) 808-9778
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY:6CENSUS: 4DATE:
11/07/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Irieanna Marshall, Caregiver TIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure that the facility is kept clean
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/4/2024 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 staff Irieanna Marshall.

On the allegation: Staff did not ensure that the facility is kept clean: In interviews it was stated that R2 was sick about a week prior, but S2 explained that there was minimal mess in the bathroom after R2 used it. S2 stated that R2 was assisted back to their room before staff cleaned, but the bathroom was cleaned right after. Witness W1 confirmed that the bathroom which is also used by guests has not been in disarray. S1 and S2 both said that towels are cleaned throughout the week as needed, and the bathroom is deep cleaned weekly. S1 stated that there was a resent altercation with R1, where R1 started yelling at the staff for being bad at their jobs and was witnessed by W1 and W2.
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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