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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 011441162
Report Date: 12/30/2025
Date Signed: 12/30/2025 11:13:16 AM

Unsubstantiated


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
10/22/2025 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20251022151105
FACILITY NAME:GALICIA'S TULIP CARE HOME #2FACILITY NUMBER:
011441162
ADMINISTRATOR:GALICIA, CONSUELOFACILITY TYPE:
740
ADDRESS:745 CINNAMON COURTTELEPHONE:
(510) 783-4888
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:6CENSUS: 6DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Ruth Carreon, Care Staff TIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff physically abused resident.
INVESTIGATION FINDINGS:
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On 12/30/25 at around 10:55AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the allegation above. Upon arrival, LPA were greeted by Care staff, Ruth Carreon, Administrator (ADM), Consuelo Galicia being notified via phone and explaining the purpose of the visit. ADM was not available to attend and gave verbal permission for Ruth to sign the report.


Report Continued on LIC 9099c…
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
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-20251022151105
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: GALICIA'S TULIP CARE HOME #2
FACILITY NUMBER: 011441162
VISIT DATE: 12/30/2025
NARRATIVE
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Report Continued...

Allegation: Staff physically abused resident - Unsubstantiated

During the course of the investigation, interviews were conducted with the resident, facility staff, and other individuals with relevant knowledge. The resident did not provide information supporting that the staff had caused physical harm, and no witnesses corroborated the allegation. A review of facility records, including incident logs, medical documentation, and staff schedules, did not reveal evidence of physical abuse or injuries consistent with the allegation. Additionally, observations of staff-to-resident interactions during the investigation reflected appropriate conduct and compliance with care.

LPA interviewed Resident 2 (R2), Resident 3 (R3), Resident 4 (R4), Resident 5 (R5), and Resident 6 (R6), all of whom stated that staff here did not physically abuse them. They all stated that the staff are kind and nice to them.

Although the allegation was reported, there was insufficient evidence to support or validate the claim that staff physically abused the resident. Therefore, the allegation is determined to be unsubstantiated.

An exit interview was conducted a copy of the report was provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2