515002949-10-8-2025-59-AS-TORZ-DMMSFU-20251020135056

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515002949
Report Date: 10/08/2025
Date Signed: 10/08/2025 11:37:24 AM

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
05/30/2025 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20250530081957

FACILITY NAME:	DELTA AT HOLLY OAKS		FACILITY NUMBER:	515002949
ADMINISTRATOR:	LEONARD WILLIS II		FACILITY TYPE:	735
ADDRESS:	1880 LIVE OAK BLVD		TELEPHONE:	(530) 618-5615
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	70	CENSUS: 32	DATE:	10/08/2025
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Leonard Willis		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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1. Licensee does not prevent residents from using illegal drugs inside of the facility
2. Licensee does not maintain facility in good repair
3. Staff did not safeguard resident's personal belongings

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Hiratsuka and Mirlohi, conducted this visit to deliver the results of the allegation above.

Community Care Licensing Division (CCLD) conducted the investigation into the allegations above.

1. CCLD interviewed staff and residents. The interviews do not indicate if drug use occurs on the facility grounds. The residents are able to leave the facility unassisted and the staff cannot monitor what the residents do when they are off facility property. Staff are also not allowed to search resident rooms without permission of the resident who occupies the room.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

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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Control Number 59-AS-20250530081957

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: DELTA AT HOLLY OAKS	FACILITY NUMBER: 515002949
	VISIT DATE: 10/08/2025

NARRATIVE

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Staff state they do routine checks on residents at all hours of the day and night and have caught residents with drug paraphernalia but not any illegal drugs nor have the witnessed residents using illegal drugs in the facility. Residents who are identified with drug issues are put on a facility program and responsible parties are contacted to find solutions to treat the resident. Based on the interviews and the limitations of the staff, it cannot be determined if staff do not prevent residents from using illegal drugs inside the facility.

2. LPAs toured the facility and interviewed staff and residents. There was an issue with the plumbing in one of the resident rooms. Some interviews stated the issue was addressed as soon as it was brought to their attention and some stated the issue was not taken care of. LPAs Hiratsuka and Avila, saw a plumber arrive at the facility on 06/03/2025, to repair the issue. Because there are differing viewpoints the allegation cannot be proved or disproved.

3. Interviews were conducted. The resident in question stated the laundry went missing once. Other interviews stated when the laundry was reported missing it was later found or they were not told the laundry was missing. It 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.

No citations were issued during this visit.
Exit interview was conducted with Administrator and a copy of this report was provided to the facility.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025

LIC9099 (FAS) - (06/04)

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