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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525002751
Report Date: 06/03/2025
Date Signed: 06/03/2025 10:34:39 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
05/02/2025 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 59-AS-20250502132708
FACILITY NAME:D & S CARE HOMES, LLCFACILITY NUMBER:
525002751
ADMINISTRATOR:BORTZ JR, DAVID L.FACILITY TYPE:
735
ADDRESS:760 MELTON COURTTELEPHONE:
(530) 864-2341
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:4CENSUS: 4DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Janine Pulmones - care staffTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Clients not accorded dignity in their personal relationships with staff. - UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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06/03/2025 10:00 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with care staff Janine Pulmones. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA interviewed the licensee, staff, and service coordinator.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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 59-AS-20250502132708
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: D & S CARE HOMES, LLC
FACILITY NUMBER: 525002751
VISIT DATE: 06/03/2025
NARRATIVE
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Clients not accorded dignity in their personal relationships with staff. - UNSUBSTANTIATED

It was reported that POA has raised concerns that Client 1 (C1) is being abused at the residential care facility where they reside. No details of alleged abuse were provided.

LPA reviewed C1’s Physicians Report which states that C1 is completely independent, high functioning, and is able to leave the facility unassisted.

Client 1 was not interviewed. LPA spoke with POA and inquired as to whether C1 would like to speak with LPA. POA stated they would ask C1, LPA never received a call back from C1.

Staff interviews revealed that C1 never expressed to staff that they were unhappy living in the facility. Staff always helped C1 with any tasks they required. C1 participated in doing their own laundry with staff assistance. C1 was allowed to leave their room any time they wanted to. C1 does not require assistance to leave their room.

Licensee stated that C1 never complained about staff not assisting them when C1 asked for help. Staff assisted C1 to do their laundry. C1 is high functioning and could come and go as they wished. C1 is able to leave the facility unassisted. The facility does not have house rules because the clients can do whatever they want.

It was determined that the facility provided support and assistance for C1 when they lived in the facility. C1 is ambulatory and able to leave the facility unassisted and was able to leave their room and the facility if they had chosen to do so. This allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are UNSUBSTANTIATED.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2