392701209-7-27-2026-27-AS-LKIG-DWLM9F-20260803092440

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392701209
Report Date: 07/24/2026
Date Signed: 07/27/2026 04:27:47 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
05/11/2026 and conducted by Evaluator Melina Oropeza

COMPLAINT CONTROL NUMBER: 27-AS-20260511153812

FACILITY NAME:	FRUITFUL HUMBLE ABODE I		FACILITY NUMBER:	392701209
ADMINISTRATOR:	MABUNGA, JOYCE MAE S		FACILITY TYPE:	740
ADDRESS:	16378 ADOBE WAY		TELEPHONE:	(415) 619-9510
CITY:	LATHROP	STATE: CA	ZIP CODE:	95330
CAPACITY:	6	CENSUS: 5	DATE:	07/24/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	JOYCE MAE S MABUNGA,		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff force resident to stay in their room while in care.
Staff member handled resident in a rough manner while in care.
Staff do not ensure that residents' hygiene needs are met while in care.

INVESTIGATION FINDINGS:

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On 07/24/26, Licensing Program Analyst (LPA) Melina Oropeza made an unannounced visit to this facility to continue a complaint investigation for the above allegations. LPA identified themselves upon arrival, stated the purpose of their vist to staff. Administrator, Joyce S Mabunga was called and joined 20 minutes later and LPA stated the purpose of the visit.

During the visit LPA request and reviewed the follwoing documention: most recent LIC 500, contact information for all facility caregivers, copies of (3) residents Appraisal/Needs and Services Plan, ID/Emergency for (3) residents, LIC 602 for (3) residents, and LIC 604 for (3)residents. LPA interviewed administrator (S1), two staff members (S2) (S3) and two residents (R1) (R2).

Staff force resident to stay in their room while in care, based on LPA observations and interviews, residents were observed freely accessing the common areas of the facility. (R1) (R2) stated they are able to leave their rooms whenever they choose. The LPA did not observe anything tied to any resident’s bedroom door or doorknob that would restrict a resident not able to leave their room.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

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-20260511153812

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: FRUITFUL HUMBLE ABODE I	FACILITY NUMBER: 392701209
	VISIT DATE: 07/24/2026

NARRATIVE

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Staff member handled resident in a rough manner while in care, based on observations and interviews conducted with R1 and R2, S1, S2 and S3, and collateral contacts, no corroborating evidence was obtained to support the allegation. The administrator and staff denied the allegation, residents interviewed did not report being handled roughly, and the LPA observed staff interacting appropriately with residents during today’s visit.

Staff do not ensure that residents' hygiene needs are met while in care, based on observations and interviews conducted with R1 R2, S1, S2 and S3, and collateral contacts, residents appeared appropriately groomed, wearing clean clothing, and exhibited good personal hygiene. Resident bedrooms and bedding were observed to be clean and free of offensive odors. R2 stated staff frequently assist with changing and personal care. No evidence was obtained to support the allegation.

Based on interviews, record review and observations, the allegations are unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore, the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of the report was given the acting administrator, Joyce Smabunga. No citations were issued per Title 22 regulations.

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC9099 (FAS) - (06/04)

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