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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397005571
Report Date: 02/27/2026
Date Signed: 03/02/2026 02:40:53 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
10/17/2025 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20251017081133
FACILITY NAME:ENCLAVE AT THE DELTAFACILITY NUMBER:
397005571
ADMINISTRATOR:LO, SUSANFACILITY TYPE:
735
ADDRESS:4951 EIGHT MILE ROADTELEPHONE:
(209) 210-4863
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY:45CENSUS: 31DATE:
02/27/2026
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Diamond CurtisTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff do not prevent residents from using methamphetamines inside facility
Staff do not prevent residents from smoking inside facility
INVESTIGATION FINDINGS:
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The Department has investigated the above allegations and has determined that the allegations are substantiated.

Allegation: Staff do not prevent residents from using methamphetamines inside facility. Two former staff and two current residents reported that methamphetamines use is a prevalent issue at the facility. Both residents interviewed have been offered methamphetamines by other residents. Residents interviewed have seen methamphetamines and/or use methamphetamines inside the facility on at least nine different occasions and have used methamphetamines as recently as months before their interview. Residents have informed facility staff of their concerns, but residents who have been placed on Targeted Behavior Agreement Contracts (TBACs), and/or sent out due to their suspected illegal substance use, have returned and resumed their behaviors.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 27-AS-20251017081133
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: ENCLAVE AT THE DELTA
FACILITY NUMBER: 397005571
VISIT DATE: 02/27/2026
NARRATIVE
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Allegation: Staff do not prevent residents from smoking inside facility. Based on records reviewed and interviews conducted it was confirmed that the Waterloo-Morada Fire Protection District were called out to the facility 12 times from
8/1/2025 to 12/31/2025 due to smoke alarm calls. According to Staff, the smoke alarms were triggered by both cigarette and illegal drug smoke.

The allegations are substantiated.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 27-AS-20251017081133
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: ENCLAVE AT THE DELTA
FACILITY NUMBER: 397005571
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
03/02/2026
Section Cited
CCR
80078(a)
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80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs.
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The facility will assess the resident(s) and determine if the facility can meet the needs of the resident violating the facility rules.
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This requirement was not met as evidenced by Interviews conducted and records reviewed the department confirmed that the residents are smoking cigarette and methamphetamines in their rooms. An immediate safety risk for all residents in care
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The Department will be sent the notices of violation and or the 30 day notice for each resident violating the rules regarding smoking cigarette and methamphetamines use.
Under Appeal
Type A
03/03/2026
Section Cited
CCR
80064(a)(2-3)
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80064 Administrator - Qualifications and Duties (2) Knowledge of the requirements for providing the type of care and supervision needed by clients, including ability to communicate with such clients. (3) Knowledge of and ability to comply with applicable law and regulation.
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The facility will provide the resident(s) violating the rules by using drugs or smoking in the room with a 30 day notice or a 3 day notice if the situation warrants the 3 day notice.
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This requirement is not met as evidenced by records reviewed and interviews conducted by the department. The administrator did not ensure the residents supervised or provide the residents with a safe environment free of drugs and other safety risk including smoking in the rooms.
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The Department will be sent the notices of violation and or the 30 day notice for each resident violating the rules regarding smoking cigarette and methamphetamines use.
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: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026
LIC9099 (FAS) - (06/04)
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