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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 397005571
Report Date: 06/19/2026
Date Signed: 06/20/2026 10:24:40 AM

Document Has Been Signed on 06/20/2026 10:24 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 DELTAFACILITY NUMBER:
397005571
ADMINISTRATOR/
DIRECTOR:		CURTIS, DIAMONDFACILITY TYPE:
735
ADDRESS:4951 EIGHT MILE ROADTELEPHONE:
(209) 210-4863
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY: 45CENSUS: 33DATE:
06/19/2026
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Yasmin LopezTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On 6/19/2026, Licensing Program Analysts (LPAs) Jason Lund and Albert Johnson arrived at this facility unannounced to conduct a case management. LPAs met with the Med-Tech and explained the purpose of the visit. There was no administrator on site one house keeper/kitchen aid, one med-tech and one care staff when LPA's arrived. The other two Staff were on break.

R1 disclosed to the San Joaquin County Sheriff’s Office (SJCSO) that on 12/21/2025, R2 sexually assaulted her by kissing her breasts and inserting his penis in her vagina. R1 provided a generally consistent statement to the multiple individuals she reported the assault to including facility staff, hospital staff, and the SJCSO.

R2 was interviewed and denied any sexual contact with R1. R1 participated in a SART exam. No physical findings were noted on the exam. Swabs from multiple points on her body were taken and a mixture of DNA consistent with three contributors was obtained from R1 breasts swab.

R1 was identified as one of the contributors. Identities of the two other contributors are unknown. Low levels of male DNA were located on R1 genitals but not analyzed further for identification.

NAME OF LICENSING PROGRAM MANAGER: Lisa Rios
NAME OF LICENSING PROGRAM ANALYST: Albert Johnson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 06/19/2026
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Staff interviews and records support that R1 had a history of sexual behaviors, attention seeking behaviors, and she did not have a good understanding of healthy relationships. In July 2025, R1 reported she was sexually assaulted by a peer and in approximately October 2025, R1 reported that she was sexually assaulted while out in the community. Despite being aware of R1 behaviors, her two prior sexual assault reports, and her vulnerability to being victimized, the facility did not make changes to her level of care/supervision. Staff reported they redirected R1, attempted to keep her engaged in activities, and she had support from the facility’s behaviorist. No specific plan was implemented to ensure the safety of R1 or other clients in care, and the facility failed to increase R1 level of supervision or reassess her suitability for this facility type.

It was also discovered through this investigation that Madison(COO) admitted to redirecting R1 during one of LPA Albert Johnson’s visits. Madison reported R1 likes to be in the middle of everything. As such, Madison did not want R1 to pose an obstacle during LPA Johnson’s visit as she believed LPA Johnson’s visit was unrelated to R1.

During Madison’s interview, she referred to a Target Behavior Action Contract (TBAC) and a Target Safety Action Plan in place for R1. I asked if she could provide me with copies. Madison said she did not know where the copier was and that she would email me the records. On 06/03/2026, 06/04/2026, and 06/08/2026, I followed up with Madison regarding the records. To date, I have not received the records from Madison.

Deficiencies were cited on today's date. Exit interview and appeal rights provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Rios
NAME OF LICENSING PROGRAM ANALYST: Albert Johnson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/20/2026 10:24 AM - It Cannot Be Edited


Created By: Albert Johnson On 06/19/2026 at 10:53 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ENCLAVE AT THE DELTA
FACILITY NUMBER: 397005571

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/19/2026
Section Cited
CCR
80078(a)

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Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the client's needs.

This requirement was not met as evidenced by the
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Licensee will provide LPA with an updated LIC 500 by COB 6/22/2026.

Also the facility is to provide an updated LIC 308
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Department's investigation that concluded in discovering based on interviews and records R1 was sexually assaulted by R2. This an immediate safety risk for all residents in care
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Update the service plan for all resident change of condition or identifed new challenges incuding care needs etc..
Type A
06/19/2026
Section Cited
CCR85072(b)

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(b) The licensee shall insure that each client is accorded the following personal rights.(4) To have visitors, including advocacy representatives, visit privately during waking hours, provided that such visitations do not infringe upon the rights of other clients.
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The facility will provide an in-service training on all personal rights for residents in care.
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This requirement was not met as evidenced by discovery through this investigation that Madison(COO) admitted to redirecting R1 during one of LPA Johnson's visits. Madison reported R1 likes to be in the middle of everything. As such, Madison did not want R1 to pose an obstacle during LPA Johnson’s visit as she believed LPA Johnson’s visit was unrelated to R1. This is an immediate risk to all residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Rios
NAME OF LICENSING PROGRAM MANAGER:
Albert Johnson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/20/2026 10:24 AM - It Cannot Be Edited


Created By: Albert Johnson On 06/19/2026 at 11:51 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ENCLAVE AT THE DELTA
FACILITY NUMBER: 397005571

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/03/2026
Section Cited
CCR
80044(c)(1)

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80044 Inspection Authority of the Licensing Agency(c) The licensing agency shall have the authority to inspect, audit, and copy client or facility records upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the requirements specified in Sections 80066(c) and 80070(d).

(1) The licensee shall ensure that provisions are made for the examination of all records relating to the operation of the facility.
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The facility will amend there program design to include the use of electronic files for staff and residents if this is the method to be used by the facility for evaluations, inspection or other business related to the licensed facility.
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This requirement is not met as evidenced by request made by the department to obtain information on 06/03/2026, 06/04/2026, and 06/08/2026, The department followed up with Madison regarding the records. To date, the department has not received the records from Madison. This is a potential risk to residents in care.
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The facility will also provide the department with an in-service for all staff to review the regulation 80044 Inspection Authority of the Licensing Agency. The department can be notified by email or fax with the required information request in the plan of correction.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Rios
NAME OF LICENSING PROGRAM MANAGER:
Albert Johnson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2026


LIC809 (FAS) - (06/04)
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