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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075601519
Report Date: 02/27/2025
Date Signed: 02/27/2025 05:02:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2025 and conducted by Evaluator James Sampair
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250224225027
FACILITY NAME:LAFAYETTE HEIGHTS RESIDENTIAL CARE IIFACILITY NUMBER:
075601519
ADMINISTRATOR:MOGADAM, JOANNEFACILITY TYPE:
740
ADDRESS:2267 SHANNON LANETELEPHONE:
(925) 979-1200
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 0DATE:
02/27/2025
ANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Licensee Joanne MogadamTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff inappropriately locked the facility grounds.
Staff do not ensure the facility telephone is being answered.
INVESTIGATION FINDINGS:
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On February 27, 2025, at 3:30 PM, Licensing Program Analyst (LPA) James Sampair arrived announced at the facility for a visit to investigate the allegations above. Upon entry into the facility, the LPA identified himself and stated the purpose of the visit to Licensee Joanne Mogadam.

The complaint alleges that staff inappropriately locked the facility grounds.
The LPA interviewed the Licensee and inspected the facility. There are no residents at the facility and have not been any residents for more than 5 years. The data collected does not confirm the allegation.

Continued on LIC 809-C. . . .
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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 15-AS-20250224225027
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: LAFAYETTE HEIGHTS RESIDENTIAL CARE II
FACILITY NUMBER: 075601519
VISIT DATE: 02/27/2025
NARRATIVE
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. . . .Continued on LIC 809

The complaint alleges that staff do not ensure the facility telephone is being answered.
The LPA called the facility and the call was answered by the Licensee. The data collected does not confirm the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2