397002220-4-1-2026-27-AS-LRIS-DSXUSZ-20260408155109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 397002220
Report Date: 03/30/2026
Date Signed: 04/01/2026 02:42:27 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
12/03/2025 and conducted by Evaluator Albert Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20251203101844

FACILITY NAME:	PERSON CENTERED SERVICES, INC #2		FACILITY NUMBER:	397002220
ADMINISTRATOR:	ANN MARRIOTT		FACILITY TYPE:	775
ADDRESS:	4155 N. EL DORADO STREET		TELEPHONE:	(209) 466-2448
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	135	CENSUS: 81	DATE:	03/30/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Shelly Bray		TIME COMPLETED:	03:02 PM

ALLEGATION(S):

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Facility failed to protect client from inappropriate touching.

INVESTIGATION FINDINGS:

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Allegation: Facility failed to protect client from inappropriate touching. Finding: Unsubstantiated

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegation. Staff reported that the facility provides ongoing training in relationship development and utilizes teachable moments to guide both R1 and R2 in maintaining appropriate boundaries within their relationship. Documentation reviewed confirmed that R1 has demonstrated self-advocacy on multiple occasions during these teachable moments.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

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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Control Number 27-AS-20251203101844

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: PERSON CENTERED SERVICES, INC #2	FACILITY NUMBER: 397002220
	VISIT DATE: 03/30/2026

NARRATIVE

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Records further indicate that R1 and R2 have been in a consensual relationship for approximately two years. The Stockton Police Department conducted an investigation and has not reached a conclusion regarding whether R2 is capable of persuading R1 into non-consensual acts.

Although the allegation may have occurred or is valid to some degree, there is not a preponderance of evidence to prove that the facility failed to protect the client. Therefore, the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026

LIC9099 (FAS) - (06/04)

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