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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397203015
Report Date: 12/30/2025
Date Signed: 12/30/2025 10:48:26 AM

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
08/13/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20250813095738
FACILITY NAME:CREEKSIDE GUEST HOMEFACILITY NUMBER:
397203015
ADMINISTRATOR:SHERON N. L. WOOFACILITY TYPE:
735
ADDRESS:3019 FAIRBURY LANETELEPHONE:
(209) 298-2267
CITY:STOCKTONSTATE: ZIP CODE:
95206
CAPACITY:6CENSUS: 3DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sheron WooTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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the facility violated one or more of the Personal Rights of a client or clients in care
INVESTIGATION FINDINGS:
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On 12/30/25 at 9:30am, Licensing Program Analyst Noel Wolf Petersen arrived to deliver the findings of a investigation branch report regarding a complaint of the above allegation. LPA met with administrator Sheron Woo to explain the purpose of the visit.
As to the allegation that Staff did not adequately supervise clients, interviews by the department with residents and staff indicate that staff were aware that a relationship existed between R1 and R2. Both parties consented to their sexual interactions, per R1, R2. R1 made statements that the sexual interactions with R2 were sometimes forced, then later retracted. Based on interview with S1, S2 and S3, although they acknowledged that R1 and R2 were in a relationship, staff denied having knowledge of the sexual acts between the two residents. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. The facility should have coordinating with the regional center to provide resources and updated the treatment plan for the clients, addressing topics such as safe relationship choices, consensual sex, safe sex practices, safe internet use…
Citation is issued on following D page, appeal rights were provided, a copy of the report was read and given to staff, exit interview conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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-20250813095738
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: CREEKSIDE GUEST HOME
FACILITY NUMBER: 397203015
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/31/2025
Section Cited
CCR
80078(a)(1)
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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.
The facility failed to meet the requirement as evidenced by:
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update the needs and services plans for the clients, offer some sex education and safe internet topics as nesscesary. If resources are needed, use VMRC guidance. Have the clients plans updated and sent over to the LPA by eod on the poc date.
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Interview and Record review where it was learned a client's sexual needs resulted in unwanted sexual activity that could have been potentially mitigated by supervision.
This presents an immediate risk to the health and safety and personal rights to clients 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.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
08/13/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20250813095738

FACILITY NAME:CREEKSIDE GUEST HOMEFACILITY NUMBER:
397203015
ADMINISTRATOR:SHERON N. L. WOOFACILITY TYPE:
735
ADDRESS:3019 FAIRBURY LANETELEPHONE:
(209) 298-2267
CITY:STOCKTONSTATE: ZIP CODE:
95206
CAPACITY:6CENSUS: 3DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sheron WooTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
the facility violated one or more of the Personal Rights of a client or clients in care
INVESTIGATION FINDINGS:
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On 12/30/25 at 10:30am, Licensing Program Analyst Noel Wolf Petersen arrived to deliver the findings of a investigation branch report regarding a complaint with the above allegation. LPA met with administrator Sheron Woo to explain the purpose of the visit.

As to the allegation that Staff did not prevent a client from being sexually abused, interviews were conducted by the department. R1 retracted being sexually assaulted by R2 and instead alleged an unknown third party was invited to the facility by R1 and perpetrated the sexual assault. R1 indicated there may have been two other sexual encounters with the unknown third party prior to the sexual assault, the first being with consent in a vehicle. Interview with staff denied the incident could have occurred. The physical layout of the facility makes the incident difficult to prove. Additionally, the victim changed their story then retracted their allegations of rape multiple times.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 27-AS-20250813095738
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: CREEKSIDE GUEST HOME
FACILITY NUMBER: 397203015
VISIT DATE: 12/30/2025
NARRATIVE
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The LPA gave guidance that the facility has a responsibility to provide the clients care and supervision as necessary to meet the clients needs, in the form of information about safely exiting a sexual interaction that becomes nonconsenting/pregancy and childcare/sexually transmitted diseases/use of contraceptives for safely engaging in their rights to have private visitors, express themselves sexually, and freely associate with members of the community.

No citations were given as part of this visit, a copy of the report was read and given to the administrator, an exit interview was conducted and appeal rights were provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 1 of 1