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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002861
Report Date: 12/11/2025
Date Signed: 12/11/2025 03:22:00 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
07/02/2025 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20250702153220
FACILITY NAME:TELECARE EL VERANOFACILITY NUMBER:
345002861
ADMINISTRATOR:MCDERMOTT, CARISSAFACILITY TYPE:
738
ADDRESS:8736 EL VERANO AVENUETELEPHONE:
(707) 815-7145
CITY:ELVERTASTATE: CAZIP CODE:
95626
CAPACITY:4CENSUS: 4DATE:
12/11/2025
UNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Austin FloresTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not complete their assigned duties resulting in the needs of clients being neglected
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to deliver the finding of the allegation cited above. LPA met with and explained the purpose of the visit.

For the allegation, Staff do not complete their assigned duties resulting in the needs of clients being neglected, the department conducted extensive interviews and file reviews. Interview conducted with C1 revealed that C1 does not wish to speak to LPA about staffing as C1 feels "triggered". C1 stated C1 is willing to let it go and does not want to bring it up anymore. Interview conducted with C2 revealed that C2 does not have any concerns about staff at this time. Interview with C3 revealed C3 does not want to disclose anything at this time. File review of Lead Checklist revealed consistent documentation of medication count and administration, meal prep, sharp count, and bedroom checks.

As a result of this investigation, the department finds the allegation to be (US)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 report copy provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
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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