392700743-3-23-2026-27-AS-LKIG-DSVNNC-20260406103630

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700743
Report Date: 03/19/2026
Date Signed: 03/23/2026 02:32:27 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
12/29/2025 and conducted by Evaluator Charlie Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20251229154253

FACILITY NAME:	LA FAMILIA RESIDENCE		FACILITY NUMBER:	392700743
ADMINISTRATOR:	YEPIZ, GUADALUPE CRYSTAL		FACILITY TYPE:	735
ADDRESS:	627 W TURNER ROAD		TELEPHONE:	(209) 310-2192
CITY:	LODI	STATE: CA	ZIP CODE:	95240
CAPACITY:	6	CENSUS: 4	DATE:	03/19/2026
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Anjeneau Ward		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff consume illegal drugs at the facility

INVESTIGATION FINDINGS:

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Unannounced complaint visit made out to this facility on 03/19/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregivers, Terri Flores and Anni Flores, who were briefly interviewed at this time. This LPA requested that they go ahead and contact the facility designated Administrator, Anjeneau Ward, to inform her that CCL was present at this time. The facility designated Administrator arrived shortly thereafter to this facility while this LPA was present at this time.
A brief interview was conducted with the facility designated Administrator at this time.
Current census was 4 residents, of which (1) resident, was out of the home with their family and responsible parties at this time.
The purpose of this visit was to present the findings of this investigation to this facility, and it's representative, at this time.
Based on a review of the forms and documents gathered during the course of this investigation, it was learned that there have not been any documented issues or concerns about facility staff appearing to be under the influence of any illegal substances while providing care and supervision to the residents in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

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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Control Number 27-AS-20251229154253

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: LA FAMILIA RESIDENCE	FACILITY NUMBER: 392700743
	VISIT DATE: 03/19/2026

NARRATIVE

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Based on interviews that were conducted during the course of this investigation, it was learned that there weren't any witnessed accounts in regards to facility staff coming to work under the influence or witnessed to have used illegal drugs or any illegal substances while employed at this time.
It was learned that there have not been any concerns filed with local law enforcement or voiced with any other regulatory agencies involved with this facility, and its personnel, being involved in illegal drug use or behaviors associated with illegal substance abuse.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation 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: 03/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

LIC9099 (FAS) - (06/04)

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