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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701432
Report Date: 03/24/2026
Date Signed: 03/24/2026 03:44:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/04/2025 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20251204093429
FACILITY NAME:ALWAYS HOME AT BLACK KITEFACILITY NUMBER:
342701432
ADMINISTRATOR:PARAS, FAITHFACILITY TYPE:
735
ADDRESS:8650 BLACK KITE DRTELEPHONE:
(510) 414-7828
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:4CENSUS: 2DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Faith ParasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff spoke inappropriately to client in care
INVESTIGATION FINDINGS:
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On 3-24-2026 at 2:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with Administrator Faith Paras and explained the purpose of the visit. During this investigation, LPA S. Hayes interviewed six staff members and two clients in care. LPA Bilger conducted an additional two client interviews

Allegation: Staff spoke inappropriately to client in care. Based on these interviews conducted it was revealed that there was a verbal argument between a staff member and client which occurred between November and December of 2025. Additionally, based on these interviews, it was revealed corroboratively that during this verbal argument, staff2 (S2) used profanity directed towards client1 (C1). As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. A citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with Administrator, and a copy of this report was provided. LIC 811 and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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 4
Control Number 27-AS-20251204093429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ALWAYS HOME AT BLACK KITE
FACILITY NUMBER: 342701432
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2026
Section Cited
CCR
80072(a)(1)
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 80072 Personal Rights. (a) …each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Licensee will ensure completed staff training on resident rights which shall include but not be limited to Section 80072(a)(1). Proof of completed training to be submitted to LPA by POC due date.
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Based on interviews conducted, licensee did not ensure a dignified relation between client and staff in that S2 used profanity directed at C1. This posed a potential health and safety risk for residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/04/2025 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20251204093429

FACILITY NAME:ALWAYS HOME AT BLACK KITEFACILITY NUMBER:
342701432
ADMINISTRATOR:PARAS, FAITHFACILITY TYPE:
735
ADDRESS:8650 BLACK KITE DRTELEPHONE:
(510) 414-7828
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:4CENSUS: 2DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Faith ParasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff refused to cook meals for client in care
Foods are not properly stored to protect against contamination
INVESTIGATION FINDINGS:
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On 3-24-2026 at 2:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegations noted above. LPA met with Administrator Faith Paras and explained the purpose of the visit. During this investigation, LPA S.Hayes interviewed six staff members and two residents in care. Additionally, LPA Bilger interviewed two additional clients in care as part of this investigation, and reviewed facility’s current menu. Furthermore, LPA Bilger conducted facility observation on 3-24-2026.

Allegation: Staff refused to cook meals for client in care. Based on interviews conducted, the investigation did not reveal any corroborated statements or other evidence of staff members refusing to cook meals for clients in care. During LPA visit, LPA observed staff members assisting clients’ needs and preparing meals upon request. Additionally, LPA observed food available at facility matched the current menu items. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.
{Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 27-AS-20251204093429
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ALWAYS HOME AT BLACK KITE
FACILITY NUMBER: 342701432
VISIT DATE: 03/24/2026
NARRATIVE
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Allegation: Food are not properly stored to protect against contamination. LPA conducted interviews and observations as noted above. During LPA’s visit, LPA observed food stored in refrigerator, freezer, and pantry areas with adequate coverings. LPA did not observe any expired food during today’s visit. LPA did not observe any food improperly stored on countertops or other inappropriate areas. Additionally, interviews conducted did not reveal any corroborated statements of food improperly stored or contaminated at any time. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator, and a copy of this report was provided. Appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4