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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515002791
Report Date: 04/23/2026
Date Signed: 04/23/2026 01:18:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
12/17/2025 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 59-AS-20251217135746
FACILITY NAME:EDENIC HAVEN 3FACILITY NUMBER:
515002791
ADMINISTRATOR:MALEKANO, MAYAFACILITY TYPE:
735
ADDRESS:2519 SOMERSET WAYTELEPHONE:
(530) 329-3480
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:4CENSUS: 4DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Maya MalekanoTIME COMPLETED:
01:28 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately touched a client
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced complaint visit to deliver the results of the allegation above. The complaint was received by the office in December 2025.

The department reviewed former resident files and conducted interviews with staff, former resident, and witnesses. Staff denied the allegation. Because each side has their own version of events the allegation cannot be proved or disproved.

Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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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