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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700109
Report Date: 09/17/2026
Date Signed: 09/17/2026 03:12:20 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
09/14/2026 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20260914120552
FACILITY NAME:DELTA AT THE SHERWOODSFACILITY NUMBER:
392700109
ADMINISTRATOR:JOSHUA RIVERAFACILITY TYPE:
740
ADDRESS:1215 W SWAIN ROADTELEPHONE:
(209) 689-3180
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:42CENSUS: 26DATE:
09/17/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Tammy IslamTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff do not ensure facility is free of insects
INVESTIGATION FINDINGS:
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On 9-17-2026 at 12:25pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the allegation noted above. LPA met with staff1 (S1) and explained the purpose of the visit. Administrator Tammy Islam arrived at 1:00pm and met with LPA. LPA requested copies of pest control service for previous three months, housekeeping schedule for September 2026, staffing roster, resident roster, and conducted a facility observation. LPA also conducted interviews with three residents in care, and six staff members.
Allegation: Staff do not ensure facility is free of insects. LPA conducted interviews, record reviews, and observation as noted above. Based on record reviews, it was revealed that facility has consistently maintained pest control services designed to ensure facility is free of infestation of insects. Housekeeping sechedule reviewed revealed indication of regular cleaning peformed by staff. Additionally, facility observation on 9-17-2026 did not reveal a presence of or evidence of insect infestation including bed bugs within facility. LPA did observe spider webs outside of facility containing trapped insects, which were later removed during LPA's visit by a staff member. {Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
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-20260914120552
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: DELTA AT THE SHERWOODS
FACILITY NUMBER: 392700109
VISIT DATE: 09/17/2026
NARRATIVE
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Interviews conducted did not reveal any corroborated statements or evidence to conclude insect infestation. As a result, there is not a preponderance of evidence to conclude facility experienced an insect infestation or fail to perform actions necessary to help ensure facility is free of insects, therefore, 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, and reviewed by vice president and chief operations officer Madison Fetyko. Appeal Rights and LIC 811 provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2