392700661-8-29-2025-27-AS-LKIG-DLJSUA-20250915141048

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700661
Report Date: 08/14/2025
Date Signed: 08/29/2025 03:35:01 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
08/05/2025 and conducted by Evaluator Charlie Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250805151728

FACILITY NAME:	CASA DE ESPERANZA		FACILITY NUMBER:	392700661
ADMINISTRATOR:	BROWN, PAMELA & MAGANA, LU		FACILITY TYPE:	735
ADDRESS:	400 OLIVINE AVENUE		TELEPHONE:	(510) 385-8463
CITY:	LATHROP	STATE: CA	ZIP CODE:	95330
CAPACITY:	4	CENSUS: 3	DATE:	08/14/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Giselle Contreras		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff do not allow resident to shower

Facility staff do not ensure resident's dietary needs are met

Facility staff are financially abusing resident

INVESTIGATION FINDINGS:

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Unannounced complaint visit made out to this facility on 08/14/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person, Giselle Contreras, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Luis Magana, to inform him that CCL was present at this time.
Current census was (3) residents, of which (1) resident, was out of the facility at their respectable day program at this time.
The purpose of this visit was to deliver the findings from this investigation to this facility, and it's representative, at this time.
Based on interviews conducted during the course of this investigation, it was learned that R1 did not need any assistance in showering and grooming. Facility staff prompted for R1 to take showers and clean up but were unable to restrict or prevent R1 from using the facility restrooms at any time.
Based on a review of the forms and documents gathered during the course of this investigation, it was learned that R1 did not have any dietary needs which came with any restrictions at this time. It was learned

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

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-20250805151728

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: CASA DE ESPERANZA	FACILITY NUMBER: 392700661
	VISIT DATE: 08/14/2025

NARRATIVE

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that facility staff did prepare meals that were not very spicy since R1 did not really like foods that were very spicy.
It was learned that R1 would mainly stay within the confines of R1's room and did not really come out to engage with the facility staff or facility residents. Facility staff would prepare and cook all of the meals and inform the facility residents when they were served.
It was learned that R1 had a very good appetite when it came to eating and finishing all of R1's meals but that R1 did not eat on a regular basis even with the facility staff insisting that R1 maintain good eating habits.
It was learned that most of the time, R1 would grab a quick snack that was not part of breakfast, lunch, and dinner and retreat back to R1's room to consume it even though all meals were prepared and made available to R1.
Based on a review of the forms and documents, it was learned that R1 received additional funding from the government in order to purchase food items for R1. It was learned that a relative of R1 was the payee who set up the account to send the funds directly to a card that was held only by R1.
It was learned that facility staff did not, or ever had, access to this card held by R1 to use at their discretion to purchase food items for this facility.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred.

There were no deficiencies observed or cited at this time.

Exit Interview

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

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