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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496802021
Report Date: 08/05/2025
Date Signed: 08/05/2025 02:43:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2025 and conducted by Evaluator Marisol Cuadra
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20250711153451
FACILITY NAME:B&J CHARNING CROSSFACILITY NUMBER:
496802021
ADMINISTRATOR:XIANGZHONG, FANFACILITY TYPE:
735
ADDRESS:1008 CHARNING CROSS LANETELEPHONE:
(707) 791-7371
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY:0CENSUS: 3DATE:
08/05/2025
UNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Bing Wu (Licensee)TIME COMPLETED:
02:58 PM
ALLEGATION(S):
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-Facility not following client's dietary restrictions
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Licensee Bing Wu.

The Department received an allegation of facility not following client's dietary restrictions. Per Reporting party, the facility is not adhering to gluten free diet leading client (C1) to health repercussions that could result in serious health problems. On 7/17/25, LPA conducted a 10-day visit to the facility, made observations, reviewed records and conducted confidential interviews with Licensee. During tour of the facility with Licensee including the facility refrigerator that contained food served to clients in care, LPA observed 3 boxes of gluten free teriyaki rice (24 servings per box), 2 x 16 oz of gluten free cauliflower pasta (2.5 servings of vegetables), 4 bags of 3.89 oz of gluten free potatoes & chicken flavored pot pie (6 servings per bag), 3 bags of gluten free seven grain bread (2 lbs. per bag), 2 boxes of gluten free limited edition of Cheerios cereal (2-1lb cartons), fruit and vegetables.
Continue on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
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 2
Control Number 21-AS-20250711153451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: B&J CHARNING CROSS
FACILITY NUMBER: 496802021
VISIT DATE: 08/05/2025
NARRATIVE
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Continue from LIC9099...

Also, there were some food boxes that do have written instructions indicating that C1 can’t eat that product. Based on records review, C1’s physician report dated 10/23/24 indicates that C1 has a diagnosis of type 1 diabetes and celiac disease, C1’s individual program plan (IPP) dated 04/15/25 indicates that they have been residing at the facility since 2007, where facility staff have been trained in special health considerations with diabetes (allergy to gluten). According to C1’s IPP the home specializes in diabetic care. C1’s weight records show consistency of weight with a light decrease of 5 lbs. for the months of May and June 2025. Per interviews conducted with the Licensee, the facility has been following C1’s dietaries restrictions and it is unclear if C1 has been consuming any different food products, Licensee disclosed that C1's dietitian advised them to don't toast C1's bread with the regular bread or limited exposure to products that might have residues of regular food to prevent cross contact, which is the presumed cause of C1's exposure to regular food that could resulted in health repercussion. Based on LPA’s interviews, records review and observations, LPA has determined and confirmed that although the facility appears to have available C1’s dietary food choices adequate for them on recent LPA’s visit conducted on 7/17/25, LPA is unable to determine if dietary restrictions have been followed or not at a prior date. A finding that the complaint allegation facility does not follow client's dietary restrictions is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Marisol Cuadra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
LIC9099 (FAS) - (06/04)
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