397005829-5-13-2025-27-AS-LKIG-DGNPUK-20250514113742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 397005829
Report Date: 05/08/2025
Date Signed: 05/13/2025 02:36:04 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
01/30/2025 and conducted by Evaluator Charlie Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250130153750

FACILITY NAME:	PARADISE RESIDENTIAL CARE		FACILITY NUMBER:	397005829
ADMINISTRATOR:	ADA P. OSUKA		FACILITY TYPE:	735
ADDRESS:	2673 EAST JUNCTION DRIVE		TELEPHONE:	(209) 910-0900
CITY:	MANTECA	STATE: CA	ZIP CODE:	95336
CAPACITY:	6	CENSUS: 4	DATE:	05/08/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Theresa Katz Crabtree		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff member hit a resident in care

INVESTIGATION FINDINGS:

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Unannounced complaint visit made out to this facility on 05/08/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility house manager, Theresa "Terry" Katz Crabtree who was briefly interviewed at this time.
Current census was 4 residents, of which (3) residents, were out of this facility at their respectable day programs at this time.
The purpose of this visit was to inform and present the findings of this complaint investigation to this facility, and its representative(s), at this time.
Based on interviews, it was learned that the original date of the alleged incident initially took place on 01/27/2025. It was learned that R1 reported to this facility that an individual had broken a piece of hardware that they had taken to their day program and was upset about the whole matter. It was learned that staff who were present attempted to calm R1 down but were unable to do so. It was learned that S1 was not present and was not on schedule on this particular date. This behavior from R1 resulted in property damage and attempted physical assault towards facility staff and other facility residents alike.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025

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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Control Number 27-AS-20250130153750

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: PARADISE RESIDENTIAL CARE	FACILITY NUMBER: 397005829
	VISIT DATE: 05/08/2025

NARRATIVE

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It was learned that the local police department was notified and a responding officer came to this facility and attempted to de-escalate the situation with R1.
It was learned that the responding officer was informed about a possible physical assault unto R1 by a facility staff person, S1, but after conducting their investigation the officer closed out the complaint without any further action being taken at that time. It was deemed to lack significant evidence to support the allegation of any physical abuse having taken place at that time.
Based on interviews conducted, it was learned that R1 had a history of making these allegations of abuse and neglect towards facility staff persons and day program staff persons alike. It was learned that the personal relationships that R1 possessed at this time greatly influenced R1's decisions to point the finger at others when things did not go R1's way at that time. Unfortunately, the main targets for these types of allegations were aimed at facility staff persons and day program staff persons as well.
Based on a review of the forms and documents gathered during this investigation, it was learned that a follow up allegation was made by R1 on 01/29/2025 stating that a facility staff person, S1, had physically assaulted him at the facility from the night prior on 01/28/2025.
It was learned that there were no apparent signs of abuse or injuries observed on R1 by the day program staff who responded to this allegation on 01/29/2025. It was learned that law enforcement was also called out to the day program to interview R1 and day program staff.
Again, law enforcement closed out the investigation of alleged physical abuse since there was a lack of sufficient evidence to support that any components of the physical abuse allegation did actually take place at that time.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time.

Exit Interview

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025

LIC9099 (FAS) - (06/04)

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