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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701383
Report Date: 04/29/2026
Date Signed: 04/29/2026 12:05:22 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
02/11/2026 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20260211090659
FACILITY NAME:ARCADIA CARE HOMEFACILITY NUMBER:
502701383
ADMINISTRATOR:VILLAREAL, JOHNFACILITY TYPE:
740
ADDRESS:664 PARADISE RDTELEPHONE:
(209) 622-0295
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY:15CENSUS: 14DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Sharon BasalduaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not safeguard resident’s personal belonging(s).
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst, LPA Noel Wolf Petersen, arrived unannounced to the facility to conduct a complaint investigation into the above allegations, which resulted also in delivering findings. LPA met with the administrator john villareal by phone to explain the purpose of the visit.

In interviews with a resident R1 it was claimed that 4 items were not being safegaurded, and all four were given away with the permision initially by R1, who then had trouble repossessing thier items. Only one of the incidents occured between residents inside of the facility, in other cases the items were given to nonstaff individuals outside of the facility. R1 was in possession of the safegaurded item at the time of the interview. R2 who was claimed to have temporary unwanted possession of the safegaurded item, is no longer residing in the facility. 3 facility staff made the statement, they dont recall the incident specificly but the normal facility procedures for enforcing the house rules about a item taken without permission would have happened soon after the incident was reported. further,that trading or lending personal items between residents is discourged and not taking each others property without permission is explained as part of the house rules at admission. LPA gave guidance a incident where house rulse are enforced would be a good thing document internally by the facility. Although the allegation 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 allegation is unsubstantiated.

no citations issued as part of this visit. A copy of the report was read to the adminstrator over the phone and a copy given to the staff designated for signature. exit interview was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
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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