347001442-7-21-2026-27-AS-SRIN-DWPTPD-20260806145408

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001442
Report Date: 07/21/2026
Date Signed: 07/21/2026 01:20:30 PM

Unsubstantiated

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
03/25/2026 and conducted by Evaluator Reza Jamaly

COMPLAINT CONTROL NUMBER: 27-AS-20260325174606

FACILITY NAME:	ELK GROVE ADULT COMMUNITY TRAINING,INC. ACT II		FACILITY NUMBER:	347001442
ADMINISTRATOR:	JAQUEZ, JOE		FACILITY TYPE:	775
ADDRESS:	9510 ELK GROVE FLORIN RD.,#C		TELEPHONE:	(916) 685-7666
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY:	90	CENSUS:	DATE:	07/21/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Program Director (PD), Augusta Osayande		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Day program staff hit a client in care.

INVESTIGATION FINDINGS:

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On 7/21/2026, at 9:20 AM., Licensing Program Analyst (LPA) Reza Jamaly arrived unannounced at the facility to deliver the complaint findings. LPA Jamaly met with Community Trainer Brandy Arismende, explained the purpose of the visit, and was later joined by Program Director (PD), Augusta Osayande. The facility's current census was 62 participants with 35 staff members present.
To investigate the allegation, LPA conducted interviews, made observation, and reviewed relevant records.
LPA conducted an interview with Client 1 (C1) regarding the allegation. At the beginning of the interview, C1 appeared reluctant to participate and stated, "I don't want to answer your questions." LPA allowed C1 time to relax and become more comfortable; however, C1 remained unwilling to discuss concerns or answer questions. C1 appeared fatigued and displayed noticeable mood changes. LPA requested assistance from Staff 2 (S2) to help facilitate communication.

Continues in LIC 9099C on page 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

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-20260325174606

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: ELK GROVE ADULT COMMUNITY TRAINING,INC. ACT II	FACILITY NUMBER: 347001442
	VISIT DATE: 07/21/2026

NARRATIVE

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page 3

PD further stated that staff have recently observed a decline in C1's cognitive functioning and have documented those observations. When asked about the facility's grievance procedures and participants' ability to report concerns, PD explained that the program conducts Safe Advocacy Classes, during which participants are educated on how to report concerns to Adult Protective Services (APS), Community Care Licensing (CCLD), law enforcement, and the Ombudsman. PD stated that although C1 has significant visual impairment and is unable to read the posted grievance information, C1 remains cognitively aware and is able to verbally express concerns.

LPA contacted the Reporting Party (RP) by telephone to discuss the allegation. RP stated that C1 initially reported the allegation to care home staff; however, RP did not believe the allegation was accurate. RP stated that C1's poor vision and behavioral responses may contribute to misperceptions. RP explained that even when staff assist C1 with routine care, such as showering, making the bed, or providing physical assistance, C1 sometimes responds by saying, "Don't touch me," "Don't push me," or "Don't hit me," despite staff using appropriate physical assistance. RP stated that these responses appear to be reactions rather than indications of actual abuse.
RP further stated that C1 had previously been evaluated by psychiatric services due to verbally aggressive behaviors, which resulted in adjustments to C1's medications.

LPA also asked whether C1 had ever been threatened with eviction from the care home. RP stated that C1 has previously expressed concerns about being "put out," but staff consistently reassured C1 that no one intended to remove them from the home. RP stated that C1 has resided in multiple care homes in the past and believes C1 may have witnessed other residents being discharged due to behavioral issues. RP believes those past experiences may have contributed to C1's fear of being removed from the facility.
LPA reviewed C1's records, including incident reports from March through June 2026, the Admission Agreement, LIC 602A, the Individual Health Care Plan, and the Individual Service Plan.

Continues on LIC 9099C on page 4

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 27-AS-20260325174606

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: ELK GROVE ADULT COMMUNITY TRAINING,INC. ACT II	FACILITY NUMBER: 347001442
	VISIT DATE: 07/21/2026

NARRATIVE

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Page 2
LPA asked C1 whether they felt safe at the program. C1 responded, "Yes." When asked whether any staff member had ever hit them, C1 replied, "Nobody hits me." LPA also asked whether C1 enjoyed attending the program and wished to continue participating. C1 responded, "You want to put me on the street? I don't have family." LPA asked whether anyone had threatened to remove C1 from the program or place them on the street. C1 responded, "No. I like my care home."

LPA asked C1 whether C1 had any concerns regarding C1 care home or the Adult Day Program. C1 responded, "I am okay. How many times do I have to tell you? You are asking too many questions. You are pestering me. I lost my family."
Throughout the interview, C1 appeared to be in a poor mood and was not interested in answering questions. C1's concerns primarily centered on the loss of family rather than the Adult Day Program or the care home.
LPA interviewed Community Skilled Trainer Brandy Arismende (S2), who supervises C1's class. S2 stated that C1's medications had recently been adjusted due to changes in C1's condition and not having enough sleep. According to S2, the care home reported that C1 had not been sleeping well, and the lack of sleep appeared to affect C1's mood. S2 stated that C1 has both good and bad days, is cognitively aware, and is willing to engage in conversation when in a good mood.
S2 further stated that C1 has become less engaged in classroom activities, which S2 believes is consistent with C1's age and current condition.
LPA asked about C1's interactions with other participants. S2 stated that C1 has limited interaction with others and primarily socializes with Client 2 (C2) and Client 3 (C3).
To determine whether anyone had witnessed or heard of any alleged physical abuse involving C1, LPA interviewed Client 2 (C2). C2 stated, "I don't know if C1 was hit or abused. C1 barely talks to me. I try to talk to C1, but C1 doesn't share concerns." When asked what makes C1 happy or unhappy, C2 stated that they did not know but indicated that C1 enjoys painting and watching television. LPA asked whether C1 had ever shared concerns about staff or the program. C2 stated that C1 had never reported any such concerns.
LPA also interviewed Program Director Augusta Osayande (PD) regarding the allegation. PD stated that the complaint was initially reported by C1's care home. Upon receiving the report, PD immediately interviewed both C1 and staff members. According to PD, C1 denied the allegation during the interview, and PD documented the findings.

Continue on LIC 9099C on Page 3

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 27-AS-20260325174606

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: ELK GROVE ADULT COMMUNITY TRAINING,INC. ACT II	FACILITY NUMBER: 347001442
	VISIT DATE: 07/21/2026

NARRATIVE

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The records reviewed documented behavioral concerns but contained no evidence supporting the allegation of physical abuse. An incident report dated June 2, 2026, documented that C1 yelled at staff while staff were attempting to assist C1 into a chair. Additionally, the LIC 602A, dated November 15, 2021, documents that C1 is non-ambulatory and has diagnoses including visual impairment, motor impairment/paralysis, and depression.

Based on LPAs' observations, interviews conducted, and records reviewed, there is insufficient evidence to support the allegation. The preponderance of the evidence standard has not been met. Therefore, the allegation is determined to be UNSUBSTANTIATED.
An Unsubstantiated finding means that the allegation may have occurred or may be valid; however, there is insufficient evidence to establish that the alleged violation occurred by a preponderance of the evidence.
An exit interview was conducted with the Program Director, and a copy of this report was provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Reza Jamaly
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4