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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397000618
Report Date: 10/14/2025
Date Signed: 10/14/2025 12:56:01 PM

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
08/01/2025 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20250801112447
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: 4DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Norma SolidumTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff are not providing a comfortable environment for residents
Staff did not prevent a resident from threatening other residents
INVESTIGATION FINDINGS:
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On 10/14/2025 at 12:00pm, Licensing Program Analysts (LPAs) Michael Bilger and Sommer Hayes arrived unannounced to deliver findings for the allegations noted above. LPA met with Licensee Norma Solidum and explained the purpose of the visit. During this investigation, LPA conducted interviews with three staff members and two residents in care. LPA also reviewed facility file documentation including physician’s report, care notes, and individual program plan (IPP) pertaining to resident1 (R1). Additionally, LPA conducted a facility observation on 8-6-2025.
Allegation: Staff are not providing a comfortable environment for residents. Based on interviews conducted, it was revealed that R1 engaged in multiple instances including the utilization of loud volume music at night and conducting verbalization and other activity which resulted in an uncomfortable environment for multiple residents. This was expressed via corroborated statements.

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

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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-20250801112447
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: 10/14/2025
NARRATIVE
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Additionally, it was revealed through interviews and record reviews that although Licensee was aware of the above, no evidence exists which demonstrated a concrete plan to address R1’s behavior towards other clients for purposes of providing a comfortable environment prior to filing of this complaint, or LPA’s initial complaint visit on 8-6-2025. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

Allegation: Staff did not prevent a resident from threatening other residents. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that on multiple occasions, R1 engaged in verbalizations of threats towards other residents in care. Additionally, it was revealed through interviews and record reviews that although Licensee was aware of the above, no evidence exists which demonstrated a concrete plan to address R1’s threats towards other clients for purposes of providing a comfortable environment prior to filing of this complaint, or LPA’s initial complaint visit on 8-6-2025. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

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

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20250801112447
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: 10/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2025
Section Cited
CCR
80072(a)(2)
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80072 Personal Rights. (a) …each client shall have personal rights which include, but are not limited to, the following: (2) To be accorded safe, healthful and comfortable accommodations….This requirement was not met as evidenced by:
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Licensee will develop and submit a plan to LPA outlining procedures on how to address residents’ behaviors towards other residents. Plan to be submitted to LPA by POC due date.
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Based on interview and record review, various residents in care experienced an uncomfortable environment due to another resident’s behavior which was not addressed concretely and effectively by Licensee. This posed a potential health, safety, and personal rights risk to residents in care.
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Type B
10/24/2025
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights. (a) …each client shall have personal rights which include, but are not limited to, the following: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat…This requirement was not met as evidenced by:
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Licensee will ensure the completion of staff training on personal rights of residents to include but not be limited to: Maintaining safe, healthful, and comfortable accommodations of residents and the right to be free from intimidation, ridicule, and threats. Proof of completed staff training to be submitted to LPA by POC due date.

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Based on interviews and record reviews, R1 engaged in multiple instances of threatening other residents in care, and licensee did not concretely and adequately address known instances of R1 making these threats. This posed a potential health, safety, and personal rights risk to residents in care.
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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: 10/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
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