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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700993
Report Date: 08/04/2026
Date Signed: 08/04/2026 10:00:46 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
07/10/2026 and conducted by Evaluator Kimberly Kulich
COMPLAINT CONTROL NUMBER: 27-AS-20260710161945
FACILITY NAME:A1 DEL MONTE STOCKTONFACILITY NUMBER:
392700993
ADMINISTRATOR:SANDEEP SAINIFACILITY TYPE:
740
ADDRESS:517 E. FULTON STREETTELEPHONE:
(209) 910-5910
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:158CENSUS: DATE:
08/04/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Allegation: Staff not providing records to the authorized representative/resident
INVESTIGATION FINDINGS:
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On 8/4/26 Licensing Program (LPA) Kimberly Kulich and Licensing Program Manager (LPM) Lisa Rios went to the A1 Del Monte facility to deliver complaint findings for a complaint filed on 7/10/26.

During the investigation, it was learned that on June 16, 2026, Titan legal services requested R1’s records. It was also learned that R1 had previously been conserved by San Joaquin’s Guardian Office. Titan legal services did not represent R1’s conservator so permission from R1’s conservator needed to be sought. It was also determined that R1’s conservator wanted to reach out to Titan legal services to verify who the requestor of the documents was. On 7/8/26 R1’s conservator contacted the facility and stated that they did not object to the request for documents. On 7/13/26 the facility, after seeking legal advice, released the records.
Based on the facility’s need to verify with the resident’s conservator that it was okay to release records on behalf of R1, there is not a preponderance of evidence to prove the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion: 30
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Kulich
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
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-20260710161945
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: A1 DEL MONTE STOCKTON
FACILITY NUMBER: 392700993
VISIT DATE: 08/04/2026
NARRATIVE
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Exit interview was conducted with the licensee. Appeal Rights were issued, and a copy of this report was left at the facility.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Kulich
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2