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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397004626
Report Date: 05/20/2026
Date Signed: 05/20/2026 03:15:49 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
02/27/2026 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260227092114
FACILITY NAME:LJ GUEST HOMEFACILITY NUMBER:
397004626
ADMINISTRATOR:YADAO, VIRGINIAFACILITY TYPE:
735
ADDRESS:8816 DAMIAN COURTTELEPHONE:
(209) 476-0383
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY:0CENSUS: 3DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
12:43 PM
MET WITH:Ramil AlcaldeTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff threatened client.
Facility did not safegaurd resident's money.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On today’s date, Licensing Program Analyst (LPA) conducted a visit to follow up on information received regarding participant R1. The following information was obtained through interviews with day program staff, the participant, and review of available documentation.

Based on interviews conducted and information reviewed, R1 provided multiple differing accounts regarding which staff were involved, when the incidents occurred, and what was said. No witnesses or corroborating evidence were identified. Due to inconsistent statements and lack of supporting information, the allegation that staff threatened to kill the client and stole the client’s money is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
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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