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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700793
Report Date: 05/30/2025
Date Signed: 05/30/2025 08:56:47 AM

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
04/02/2025 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250402151451
FACILITY NAME:MMK PARTNERS IN CARE, INC.FACILITY NUMBER:
392700793
ADMINISTRATOR:EMPERADOR, ANN KRISTINEFACILITY TYPE:
735
ADDRESS:2196 KINGSBURY DRIVETELEPHONE:
(916) 833-6978
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY:4CENSUS: 4DATE:
05/30/2025
UNANNOUNCEDTIME BEGAN:
08:30 PM
MET WITH:Emie Bon TalaidTIME COMPLETED:
09:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff restrained resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/30/25, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to deliver findings for the allegations noted above. LPA met with Staff and explained the purpose of the visit.

Based on interviews done conducted by LPA Lewis of R1 and S1 and interviews conducted by Valley Mountain Reginal, the allegation Facility staff restrained resident in care is UNSUBSTANTIATED. R1 admits they were mad about other personal issues and accused S1 out of anger.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegation of Facility staff restrained resident in care. unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed.

There are no deficiencies is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted, and a copy of this report was left at the facility.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
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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