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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701113
Report Date: 03/24/2026
Date Signed: 03/26/2026 11:32:10 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
12/12/2025 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20251212104829
FACILITY NAME:MGIL'S CARE HOME LLCFACILITY NUMBER:
502701113
ADMINISTRATOR:LAMOCA, MEIREEN I.FACILITY TYPE:
735
ADDRESS:2116 STARLIGHT DRIVETELEPHONE:
(209) 300-7323
CITY:MODESTOSTATE: CAZIP CODE:
95357
CAPACITY:4CENSUS: 3DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Administrator Meireen LamocaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not dispense medications as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete an complaint investigation regarding the above allegation. LPA Lund met with Administrator Meireen Lamoca and explained the reason for the visit. Census:3

Staff did not dispense medications as prescribed- LPA Lund reviewed facility paperwork and interviewed staff, and reporting party. LPA Lund reviewed the facility Medication Administration Record (MAR) for Client (C1) from 11/01/2025 through 12/31/2025. The MAR states that C1 didn’t take two medications through that period. C1 refused the medications and Administrator Meireen Lamoca didn’t notify Community Care Licensing and Valley Mountain Regional Center (VMRC). Since incident Administrator Meireen Lamoca has had refreshment training on Basics of Medication Training (VMRC).
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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-20251212104829
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: MGIL'S CARE HOME LLC
FACILITY NUMBER: 502701113
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2026
Section Cited
CCR
80075(b)
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Clients shall be assisted as needed with self-administration of prescription and nonprescription medications.
This requirement is not met as evidenced by:
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Since incident Administrator Meireen Lamoca has had refreshment training on Basics of Medication Training (VMRC).
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Client (C1) from 11/01/2025 through 12/31/2025. The MAR states that C1 didn’t take two medications through that period. This poses an immediate health and safety risk to 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.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20251212104829
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: MGIL'S CARE HOME LLC
FACILITY NUMBER: 502701113
VISIT DATE: 03/24/2026
NARRATIVE
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Based on reviewed facility paperwork and interviews with staff, and reporting party the information provided, it clear that staff did not dispense medications as prescribed therefore the allegation was deemed SUBSTANTIATED.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

A deficiency is being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.

Exit interview was conducted, and copies of the report and appeal rights left.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3