392700500-7-9-2025-27-AS-LRIS-DJUVJ6-20250723162814

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700500
Report Date: 06/24/2025
Date Signed: 07/09/2025 08:46:09 AM

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
04/09/2025 and conducted by Evaluator Albert Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250409105254

FACILITY NAME:	GLENBROOK CARE HOME LLC		FACILITY NUMBER:	392700500
ADMINISTRATOR:	CABRERA, ELISEO		FACILITY TYPE:	735
ADDRESS:	6002 GLENBROOK LN		TELEPHONE:	(209) 598-0303
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	4	CENSUS: 4	DATE:	06/24/2025
		UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Remedios Tumaneng		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff does not follow food menu for residents.
Staff not providing an adequate amount of food for resident.
Staff not treating resident with respect.
Staff not allowing resident phone use.
Staff does not take resident on outings.
Staff makes resident stay in the room.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to deliver findings. LPA was greeted by Staff.

Allegation: Staff does not follow food menu for residents. Records reviewed and observation on several occasions confirmed that the facility is following the menu and allowing the residents to make changes to the menu item if they chose. The facility was observed to have the required perishable and non-perishable foods. Residents are allowed to purchase alternatives to the menu items, but are not required to.

Allegation: Staff not providing an adequate amount of food for resident. The facility was observed to be providing the residents with adequate amounts of food for all three meals the staff confirm that the residents are allowed to have seconds if they chose to or if there is additional food to be given. Residents interviewed confirmed that they do get plenty of food and seconds if requested.

Continued

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

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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Control Number 27-AS-20250409105254

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: GLENBROOK CARE HOME LLC	FACILITY NUMBER: 392700500
	VISIT DATE: 06/24/2025

NARRATIVE

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Allegation: Staff not treating resident with respect. 2 of 4 residents stated that the facility staff address them with respect and one residents confirmed that the staff usually address each resident with respect. LPA was informed by that resident about an incident that happened, the Lead staff for the day was not speaking to them in an appropriate manner. LPA was informed by the resident that the incident was personal and involved using the bathroom in an area that was not intended to be used as a bathroom.

Allegation: Staff not allowing resident phone use. It was alleged that staff is only allowing residents one phone use a day and they can only contact theirs mother. The resident has broken their personal cell phone and did not have numbers for friends and they could not remember phone numbers for others. Resident interviewed confirmed that they can use the phone anytime unless they are eating.

Allegation: Staff does not take resident on outings. Records confirm that the facility takes the residents out to multiple places and events. Some residents prefer going to alternative places(fast food mostly) when the outing for the day does not include a food place. The resident confirm that they are given a choice when it is time to plan outing and some residents refuse to participate in the planning process.

Allegation: Staff makes resident stay in the room. Interviews conducted with residents confirm that they are allowed opportunities to stay in their rooms are come out and watch television or play games with other, however some resident prefer to stay in their rooms and play video games or surf the web on their tablets. 2 of 4 residents confirm these findings and are happy with the freedom they are given to make choices.

As a result of this investigation the department finds the preponderance of evidence standard is not met, and these allegations are UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

LIC9099 (FAS) - (06/04)

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