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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390317215
Report Date: 08/19/2026
Date Signed: 08/19/2026 01:59:03 PM

Unfounded


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
06/30/2026 and conducted by Evaluator Melina Oropeza
COMPLAINT CONTROL NUMBER: 27-AS-20260630123129
FACILITY NAME:GOLDEN ACRES HOME AND CAREFACILITY NUMBER:
390317215
ADMINISTRATOR:MARICEL YAPOFACILITY TYPE:
740
ADDRESS:1101 CALIFORNIA STREETTELEPHONE:
(209) 838-3405
CITY:ESCALONSTATE: CAZIP CODE:
95320
CAPACITY:26CENSUS: 26DATE:
08/19/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Maricel TeskeTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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9
Staff are not allowing resident to use the phone
Staff are not allowing resident to have visitors
INVESTIGATION FINDINGS:
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On 08/19/2026 Licensing Program Analyst (LPA) Melina Oropeza arrived at facility unannounced to continue complaint investigation in to the above listed allegations. LPA Oropeza met with back up administrator, Maricel Teske and explained the purpose of today's visit.

LPA interviewed R1’s case manager.

Staff are not allowing resident to use the phone based on interviews conducted and records reviewed indicated that R1 had access to the facility telephone. Information obtained did not indicate that staff restricted R1’s telephone use, therefore, the allegaton was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.


Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
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 2
Control Number 27-AS-20260630123129
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: GOLDEN ACRES HOME AND CARE
FACILITY NUMBER: 390317215
VISIT DATE: 08/19/2026
NARRATIVE
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Staff are not allowing resident to have visitors based on interviews conducted and records reviewed indicated that R1 was permitted to receive visitors. Information obtained did not indicate that staff restricted R1’s to have visitation, therefore, the allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided to back up administrator, Maricel Teske.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2