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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700885
Report Date: 01/29/2026
Date Signed: 01/29/2026 12:23:28 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
12/01/2025 and conducted by Evaluator Albert Johnson
COMPLAINT CONTROL NUMBER: 27-AS-20251201090128
FACILITY NAME:DELTA AT THE PORTSIDEFACILITY NUMBER:
392700885
ADMINISTRATOR:JOSHUA RIVERAFACILITY TYPE:
740
ADDRESS:1950 E SONORA STREETTELEPHONE:
(209) 689-3180
CITY:STOCKTONSTATE: CAZIP CODE:
95205
CAPACITY:66CENSUS: 39DATE:
01/29/2026
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Tammy ITIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff sexually abused resident in care
INVESTIGATION FINDINGS:
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LPA Johnson arrived unannounced to deliver findings for the above allegation.

These are the findings from the department. Based on interviews and records reviewed, R1 stated S1 is coming into her room every night and raping her. R1 has never woke up when this has happened but knows it is happening because she wakes up in “pain.”

R1 knows it is S1 because S1 is the only facility staff who lives at the facility. According to R1, she and S1 have never talked to one another before and that S1 is “very quiet” so that’s why she knows it is him.

Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 27-AS-20251201090128
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: DELTA AT THE PORTSIDE
FACILITY NUMBER: 392700885
VISIT DATE: 01/29/2026
NARRATIVE
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Administrator Tammy Isam stated that according to R1’s conservator, R1 has a history of making these allegations.

After the facility was first made aware of the allegation, S1 was moved out of the facility. R1 has still been making the allegation. The facility took R1 to the hospital to get checked out as well. Stockton PD was made aware of the allegations. Tammy has never had concerns with S1 before. No one has ever made an allegation about S1 before.

Tammy informed me that R1 first said resident R2 was the one who raped her.

R2 denied knowing who R1 was. R2 stated he has never had any interactions with R1. R2 stated he couldn’t even point out who R1 is. Other residents interviewed did not disclose any issues or serious complaints regarding the facility, the facility staff, or S1. Planned Work: Interview suspect, interview R1’s conservator

Unsubstantiated

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2