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Department of
SOCIAL SERVICES
Community Care Licensing
COMPLAINT INVESTIGATION REPORT
Facility Number:
392700640
Report Date:
04/03/2026
Date Signed:
05/04/2026 05:14:09 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
01/20/2026
and conducted by Evaluator
Albert Johnson
COMPLAINT CONTROL NUMBER:
27-AS-20260120135713
FACILITY NAME:
COURTYARD AT RIO LAS PALMAS, THE
FACILITY NUMBER:
392700640
ADMINISTRATOR:
GUERRERO, LIZETH
FACILITY TYPE:
740
ADDRESS:
877 EAST MARCH LANE
TELEPHONE:
(209) 957-4711
CITY:
STOCKTON
STATE:
CA
ZIP CODE:
95207
CAPACITY:
80
CENSUS:
53
DATE:
04/03/2026
UNANNOUNCED
TIME BEGAN:
01:30 PM
MET WITH:
L. Guerrero
TIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating outside of license terms and conditions
Staff overcharged resident in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Allegation: Facility is operating outside of license terms and conditions. Based on records reviewed the facility is operating within the scope of the license. The information provided in the Physician's reports and hospice notes for the residents in question does not support the alleged. The residents were on hospice and were receiving service from the hospice agency. The mandate to report information is required during the time of employment and is not to be used as retaliation. The allegation is unsubstantiated.
Allegation: Staff overcharged resident in care. Records reviewed confirm that the facility is charging for services provided based on assessments. The information reviewed outline the needs and services for each resident reviewed and is up-to-date. The alleged misconduct was an agreement between the resident /resident's family and the facility to place a hold on the apartment until that resident was ready to return from her medical emergency and back to baseline.
The allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
0
SUPERVISORS NAME
:
Lisa Rios
LICENSING EVALUATOR NAME
:
Albert Johnson
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/03/2026
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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