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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700787
Report Date: 07/23/2026
Date Signed: 07/27/2026 02:53:43 PM

Document Has Been Signed on 07/27/2026 02:53 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LIBBIE CARE HOMEFACILITY NUMBER:
392700787
ADMINISTRATOR/
DIRECTOR:		RAM, AVINESHFACILITY TYPE:
735
ADDRESS:558 E EDISON STTELEPHONE:
(209) 824-5993
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY: 5CENSUS: DATE:
07/23/2026
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Renee TangTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On 07/27/26, a meeting was conducted via Microsoft Teams members present included Licensing Program Analyst (LPA), Melina Oropeza, Licensing Program Manager (LPM), Liza King, Regional Manager, Stephanie Doub, Valley Mountain Regional Center (VMRC) representatives, Katina Richison, Brian Bennett and licensee, Renee Tang were in attendance. The purpose of the meeting today was to review the STIPULATION AND WAIVER; AND ORDER SERVED 7/1/26 and which became effective on that date:
RESPONDENTS LIBBIE CARE HOME, LLC dba Libbie Care Home, RENEE TANG, and BIG HEARTS ADULT DAY PROGRAMS dba Big Hearts Adult Day Programs.
FINDINGS: Respondents admit allegations 24, 25, 27 through 35 in the Accusation. As a result,

REVOCATION OF LICENSE: Respondent LIBBIE CARE HOME, LLC's
license to operate an adult residential facility located at 558 E. Edison Street, Manteca, California ("the facility") shall be revoked. In order to provide timely notice to each client, and facilitate the possible sale of the facility, The revocation of Respondent LIBBIE CARE HOME, LLC's license shall be stayed for a period of ninety (90) days following the adoption of this Stipulation.
Within sixty (60) days of Respondent LIBBIE CARE HOME, LLC's execution of this Stipulation, Respondent LIBBIE CARE HOME, LLC shall give written notice to each client and to each client's responsible party that the Respondent LIBBIE CARE HOME, LLC may no longer provide care and supervision and, as such, all clients...
Respondent LIBBIE CARE HOME, LLC shall assist clients who have no relatives or responsible parties in contacting community resources that can arrange for a new placement, if necessary. Respondent shall not solicit, request, or accept fees, payments or gratuities from clients, their relatives or responsible parties or placing agencies for any placement assistance or referrals by Respondent to a new facility...
Liza King
Melina Oropeza
DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LIBBIE CARE HOME
FACILITY NUMBER: 392700787
VISIT DATE: 07/23/2026
NARRATIVE
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APPLICATION FOR ADMINISTRATOR’S CERTIFICATE: After three (3) years from the effective date of the Stipulation, Respondent RENEE TANG may apply for an administrator certificate provided Respondent has complied with all statutory and regulatory requirements, completed forty (40) hours working directly under an experienced administrator in good standing, provided proof of employment to the Department, and complied with all statutes and regulations related to Respondent’s employment.

COMPLETION OF PROBATION: If Respondent RENEE TANG successfully complies with the terms of the Stipulation, at the end of the three (3) year probationary period, probation shall expire and the exclusion imposed upon Respondent by the Stipulation shall be vacated.

VIOLATION OF STIPULATION TERM: Violation of any term of the Stipulation shall constitute sufficient grounds for immediate revocation of the license, exclusion from employment, residence or presence in a licensed facility, and any additional enforcement action authorized by the Department. Respondent shall be entitled to an administrative hearing on the issue of whether there was a substantial violation of a condition of the Stipulation.

An exit interview was conducted via telephone and this report was reviewed by LPA Oropeza and the licensee Renee Tang. No citations were issued. A copy of the report was provided via email to the licensee, LPA requested a return email with signature.

NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Melina Oropeza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LIBBIE CARE HOME
FACILITY NUMBER: 392700787
VISIT DATE: 07/23/2026
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Respondent LIBBIE CARE HOME, LLC shall forward to the Department a list of all clients who have been served with the notice to relocate, as well as the name, address, and telephone number of the place to which each client has been relocated.

REVOCATION OF ADMINISTRATOR CERTIFICATES: Both of Respondent RENEE TANG'S certifications as an administrator for a residential care facility for the elderly and for an adult residential facility are revoked upon the Department's adoption of this Stipulation as its Order...

APPLICATION WITHDRAWAL: Respondent RENEE TANG hereby agrees she has authority to withdraw the BIG HEARTS ADULT DAY PROGRAMS db Big Hearts Adult Day Programs application pending before the Department of Social Services. The BIG HEARTS ADULT DAY PROGRAMS and Big Hearts Adult Day Programs application will be deemed withdrawn upon the effective date of this Order...

FUTURE APPLICATION FOR A LICENSE, REGISTRATION, CERTIFICATION OR APPROVAL: Respondent RENEE TANG shall not apply for, receive or hold an administrator certificate or any license, certification or approval to operate any facility licensed by the Department during the stay of the license revocation. Respondent shall also not apply for or be approved as a Resource Family. Any future application shall be subject to the terms and conditions set forth in the Stipulation.

EXCLUSION: STAYED WITH PROBATION: Respondent RENEE TANG is excluded from employment and presence in any facility licensed by the Department; however, the exclusion shall be stayed for a probationary period of three (3) years subject to compliance with the terms and conditions of the Stipulation.

TERMS OF PROBATION: During the probationary period, Respondent RENEE TANG shall not hold a position as an administrator of any Department licensed facility, shall remain under supervision if employed in a licensed facility, shall not operate or apply for any Department licensed facility, shall complete four (4) hours of Department-approved training every six (6) months in addition to legally mandated training, submit certificates of completion to the Department, and comply with all applicable federal, state, and local laws, statutes, and regulations.

NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Melina Oropeza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC809 (FAS) - (06/04)
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