079201127-2-17-2023-15-AS-KHOS-CPATZ2-20230222140936

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201127
Report Date: 02/17/2023
Date Signed: 02/17/2023 04:57:45 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/08/2023 and conducted by Evaluator Lizette Francisco

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230208130401

FACILITY NAME:	ALAMO RESIDENCE HOME		FACILITY NUMBER:	079201127
ADMINISTRATOR:	ENRIQUEZ, JOY MANALANG		FACILITY TYPE:	740
ADDRESS:	2978 MIRANDA AVE		TELEPHONE:	(408) 449-8044
CITY:	ALAMO	STATE: CA	ZIP CODE:	94507
CAPACITY:	6	CENSUS: 5	DATE:	02/17/2023
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Joy Enriquez, Administrator		TIME COMPLETED:	05:05 PM

ALLEGATION(S):

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Chemicals are accessible to residents in care.

INVESTIGATION FINDINGS:

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On 2/17/2023 starting at 3:05 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct initial 10-day complaint investigation. LPA met with Administrator, Joy Enriquez and explained the purpose of the visit.

During the course of the investigation, LPA obtained information, collected documents and LPA toured facility. It was alleged chemicals are accessible to residents in care. Based on information obtained by complainant and photos provided, cleaning supplies are unlocked in the laundry room. However, during the tour of the facility, LPA determined that the complaint was generated under the wrong facility.

This agency has investigated the complaint alleging chemicals are accessible to residents in care. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.]

Exit interview conducted and a copy of this report provided to Administrator.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette Francisco	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023

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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