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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700366
Report Date: 07/01/2026
Date Signed: 07/03/2026 03:32:56 PM

Substantiated


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
06/24/2026 and conducted by Evaluator Melina Oropeza
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260624153604
FACILITY NAME:COMMONS AT UNION RANCH, THEFACILITY NUMBER:
392700366
ADMINISTRATOR:JOSHUA LAMBENGCOFACILITY TYPE:
740
ADDRESS:2241 N UNION ROADTELEPHONE:
(209) 463-9100
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:135CENSUS: 102DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Sheryl BravoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not reorder residents mediations timely resulting in missed medication
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA) Melina Oropeza and Licensing Program Manager (LPM) arrived to the facility unannounced regarding a complaint investigation into the allegations above. LPA Oropeza met with Administrator, Sheryl Bravo and explained the purpose of the visit.

During the visit that was conducted on June 16, 2026, LPA reviewed ten residents Medication Administration Records (MARs) for a period of three months and interviewed staff which report when the residents' run out of medication it is documented as medication not available and is missed until refilled.

At that visit, evidence of standard was met, therefore the above allegation is found to be Substantiated. However, no citation will be given today as Incidental Medical was cited for this reason on the above date.

Exit interview was conducted. A copy of the report and appeal rights were provided to the administrator.


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

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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 3
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
06/24/2026 and conducted by Evaluator Melina Oropeza
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260624153604

FACILITY NAME:COMMONS AT UNION RANCH, THEFACILITY NUMBER:
392700366
ADMINISTRATOR:JOSHUA LAMBENGCOFACILITY TYPE:
740
ADDRESS:2241 N UNION ROADTELEPHONE:
(209) 463-9100
CITY:MANTECASTATE:CAZIP CODE:
95336
CAPACITY:135CENSUS: 102DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Sheryl BravoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Due to staff negligence, residents received the wrong medication
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA) Melina Oropeza and Licensing Program Manager (LPM) arrived to the facility unannounced regarding a complaint investigation into the allegations above. LPA Oropeza met with Administrator, Sheryl Bravo and explained the purpose of the visit.

During the visit that was conducted on June 16, 2026, LPA reviewed ten residents Medication administration records for a period of three months and interviewed staff. During this review, it did not appear resdients had received the wrong medications. Additionally, incident reports were reviewed an no reports of incorrect medications being provided had been reported by the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the
alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted. Copy of reports and appeal rights were given to administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3