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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397001983
Report Date: 01/10/2025
Date Signed: 01/15/2025 05:53:41 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
09/30/2024 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20240930160534
FACILITY NAME:NEW HOPE GUEST HOME-BALBOAFACILITY NUMBER:
397001983
ADMINISTRATOR:FELIX, ROBERT A.FACILITY TYPE:
735
ADDRESS:8343 BALBOA AVENUETELEPHONE:
(209) 478-8010
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:6CENSUS: 6DATE:
01/10/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Joan TalarocTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Prescribed Diet not being followed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01-10-2025, Licensing Program Analysts (LPA) Kesha Lewis conducted an unannounced facility visit to finish the complaint investigation with the above allegation. LPA Lewis met with MaryBarroz and adminstrator Joan Talaroc joined about 30 minutes later LPA explained the purpose of today's visit.

During today's visit, LPA Lewis conducted interviews with staff. Throughout the course of this investigation, the Department conducted interviews and reviewed facility files. Based on the investigation, there was no indication the the facility was not following the prescribed diet staff knew where food items were and could explain to LPA how they were given to R1. Based on interviews, and records it was determined there is not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation is unsubstantiated.

An exit interview was conducted, 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: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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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