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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397000817
Report Date: 04/15/2026
Date Signed: 04/15/2026 09:53:29 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
01/09/2026 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260109085711
FACILITY NAME:GIER CARE HOME IIFACILITY NUMBER:
397000817
ADMINISTRATOR:DOMINGA GIERFACILITY TYPE:
735
ADDRESS:2510 JIMINEZ WAYTELEPHONE:
(209) 952-8545
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:6CENSUS: 3DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Elma Blanco TIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not follow the food menu.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA'S) Kesha Lewis and Melina Oropeza arrived at the unannounced facility to deliver findings for the above allegation. LPA'S were greeted by Licensee and explained the reason for the visit.

Based on interviews with residents and LPA'S observations the above allegation Staff do not follow the food menu is UNSUBSTANTIATED. 3 out of 6 residents were interviewed and none had complaints regarding the food or menu. Over multiple visits LPA observed the facility refrigerator, and it was fully stocked with multiple kinds of protein, vegetables and other food as well as the pantry. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited.

An exit interview was held, and a copy of this report was given.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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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