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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397000618
Report Date: 01/31/2025
Date Signed: 01/31/2025 11:20:16 AM

Substantiated


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
11/26/2024 and conducted by Evaluator Michael Bilger
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20241126153453
FACILITY NAME:SOLIDUM CARE HOME #8FACILITY NUMBER:
397000618
ADMINISTRATOR:NORMA SOLIDUMFACILITY TYPE:
735
ADDRESS:217 BERNICE AVENUETELEPHONE:
(209) 477-2413
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY:6CENSUS: 5DATE:
01/31/2025
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Loida Mae ArellanoTIME COMPLETED:
11:30 PM
ALLEGATION(S):
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Facility staff do not treat clients with dignity or respect
INVESTIGATION FINDINGS:
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On 1-31-2025 at 10:25am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegation noted above. LPA met with lead caregiver Loida Mae Arellano and explained the purpose of the visit. Licensee Norma Solidum was not present and gave permission via phone for lead caregiver to sign in her absence. During this investigation, LPA conducted interviews with three staff members and three clients. LPA also reviewed facility file documentation including physician reports, individualized program plans (IPPs), and facility house rules. Additionally, LPA conducted facility observations on 12/3/2024 and 1/9/2025.
Allegation: Facility staff do not treat clients with dignity or respect. LPA conducted interviews and record reviews as noted above. Based on interviews conducted it was revealed that 2 of 3 clients expressed previous occurrences in which they felt pressured by facility staff, and obligated to attend day programs after deciding not to attend and stay at their residence.

{Cont. on 9099C}
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
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 5
Control Number 27-AS-20241126153453
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: SOLIDUM CARE HOME #8
FACILITY NUMBER: 397000618
VISIT DATE: 01/31/2025
NARRATIVE
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Findings included clients expressing they were told by facility staff that a “legitimate” reason was necessary to stay home. Additionally, findings revealed that staff members communicated with a client’s responsible persons regarding wishes to stay home, resulting in client feeling pressured to attend day program. A review of facility’s house rules state in part: “Residents will have a voice in choosing their own activities if they do not want to participate.” As a result of this investigation, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

As a result of this investigation, citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with lead caregiver and a copy of this report was provided. LIC 811 and appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 27-AS-20241126153453
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: SOLIDUM CARE HOME #8
FACILITY NUMBER: 397000618
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
CCR
80072(a)(1)
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80072(a)(1) Personal Rights. (a) Except for children’s residential facilities, each client shall have personal rights which include…(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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Licensee and staff will ensure completed staff training on resident rights. Training to include but not be limited to: Dignity with client relationships. Training to be conducted by outside vendor. Proof of completed training to be submitted to LPA by POC due date.
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 Based on interviews and record reviews, Licensee did not ensure clients dignified relationships with staff in that client’s expressed being pressured by staff and obligated to attend day programs after expressing a desire to stay home. This posed a potential health, safety, and resident rights risk to residents in care.
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Licensee to read regulation 80072(a)(1) and submit a signed declaration of understanding to LPA by POC due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
11/26/2024 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20241126153453

FACILITY NAME:SOLIDUM CARE HOME #8FACILITY NUMBER:
397000618
ADMINISTRATOR:NORMA SOLIDUMFACILITY TYPE:
735
ADDRESS:217 BERNICE AVENUETELEPHONE:
(209) 477-2413
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY:6CENSUS: 5DATE:
01/31/2025
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Loida Mae ArellanoTIME COMPLETED:
11:30 PM
ALLEGATION(S):
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Facility staff are not meeting clients dietary needs
INVESTIGATION FINDINGS:
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On 1-31-2025 at 10:25am Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegation noted above. LPA met with lead caregiver Loida Mae Arellano and explained the purpose of the visit. Licensee Norma Solidum was not present, and gave permission via phone for lead caregiver to sign in her absence. During this investigation, LPA conducted interviews with three staff members and three clients. LPA also reviewed facility file documentation including facility menu, facility house rules, and facility grocery receipt expenses. Additionally, LPA conducted facility observations on 12/3/2024 and 1/9/2025.

Allegation: Facility staff are not meeting clients’ dietary needs. LPA conducted interviews, facility observations, and record reviews as noted above. Based on record reviews, facility observations, and interviews, it was determined that facility is providing adequate amounts of food including, but not limited to: Regulatory required meats, dairy, fruits, and vegetables.

{Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 27-AS-20241126153453
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: SOLIDUM CARE HOME #8
FACILITY NUMBER: 397000618
VISIT DATE: 01/31/2025
NARRATIVE
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A review of facility’s menu indicated facility’s food on site is consistent with menu items available. It was further determined through interviews, that clients are given choices for individual food preferences. Facility observations conducted revealed clients cooking and eating food of their choice. A review of facility’s grocery receipts indicates consistent purchases of food for client’s which match offered menu items and additional food preferences of clients.

As a result, there is not a preponderance of evidence to conclude facility staff are not meeting clients’ dietary needs, therefore, this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means although the allegation may have happened or is valid there is not a preponderance of the evidence to prove that the alleged violation occurred.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5