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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700661
Report Date: 01/08/2025
Date Signed: 04/11/2025 12:31:14 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
11/26/2024 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20241126101855
FACILITY NAME:CASA DE ESPERANZAFACILITY NUMBER:
392700661
ADMINISTRATOR:BROWN, PAMELA & MAGANA, LUFACILITY TYPE:
735
ADDRESS:400 OLIVINE AVENUETELEPHONE:
(510) 385-8463
CITY:LATHROPSTATE: CAZIP CODE:
95330
CAPACITY:4CENSUS: 2DATE:
01/08/2025
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Caselita Jones TIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
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9
Staff do not provide adequate care and supervision of the clients
Staff do not ensure the facility has household products available for the clients
INVESTIGATION FINDINGS:
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2
3
4
5
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8
9
10
11
12
13
On 01/08/25, Licensing Program Analyst (LPA) Kesha Lewis and Licensing program manager (LPM) Liza King arrived unannounced to continue the complaint investagation for the allegations noted above. LPA met with staff explained the purpose of the visit.

Based on observations and interviews with residents and the a visit from valley mountain regional (VMRC) on 12/06/2024 During the visit from VMRC residents were found to be in the facility with no staff by VMRC legasion Isebella Dalman. Based on interview with administrator Luis where he stated he would had out toiletries to residents the allegation of Staff do not ensure the facility has household products available for the clients is also SUBSTANTIATED.

the complaint is determined to be SUBSTANTIATED. As a result, the preponderance of evidence standard for this allegation is met, therefore, this allegation is SUBSTANTIATED.

Deficiencies already cited see complaint dated 12/11/2024.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
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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