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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390313073
Report Date: 11/17/2025
Date Signed: 11/17/2025 08:44:55 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
08/11/2025 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250811141420
FACILITY NAME:GAPASIN MANOR #3FACILITY NUMBER:
390313073
ADMINISTRATOR:GAPASIN, VIOLETA T.FACILITY TYPE:
735
ADDRESS:2211 SANDRINGHAM WAYTELEPHONE:
(209) 951-1124
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:6CENSUS: 5DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Darrel GapasinTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff abandoned resident at day program
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On11-17-2025, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to deliver findings for the complaint allegations noted above. LPA met with Administrator Darrel Gapasin and explained the purpose of the visit.

After multiple attempts to reach the day program to verify what phone number was being called to reach the facility with no call back LPA was unable to verify if only one phone number was being called and interviews with the staff the alleagation is UNSUBSTAINTIATED. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
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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