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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701573
Report Date: 05/20/2026
Date Signed: 06/05/2026 02:43:52 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
03/06/2026 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260306091343
FACILITY NAME:INTEGRATING HOME CAREFACILITY NUMBER:
392701573
ADMINISTRATOR:WARREN, IMANIFACILITY TYPE:
735
ADDRESS:2620 TECUMSEH LANETELEPHONE:
(908) 416-4875
CITY:STOCKTONSTATE: CAZIP CODE:
95206
CAPACITY:4CENSUS: 4DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Imani W.TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Rights were violated by staff in the home / Conduct inimical
Financial Abuse
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to deliver findings for the allegations listed above.

Based on records reviewed, three staff interviews, and three resident interviews, there is insufficient evidence to support the allegations that: Staff cursed at or bullied R1.
Staff violated R1’s personal rights by threatening to take his phone. Staff requested gas money from R1 during transportation. No documentation, witness statements, or corroborating evidence supported the allegations. Staff and residents consistently denied observing or participating in the alleged conduct. Records did not reflect any complaints, disciplinary actions, or incidents consistent with the allegations.

Therefore, the allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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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