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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015601347
Report Date: 12/30/2025
Date Signed: 12/30/2025 10:29:50 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
10/27/2025 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20251027124807
FACILITY NAME:C & L HOME FOR THE ELDERLYFACILITY NUMBER:
015601347
ADMINISTRATOR:GUZMAN, JOSELITO A.FACILITY TYPE:
740
ADDRESS:2660 HOP RANCH ROADTELEPHONE:
(510) 731-7743
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:6CENSUS: 6DATE:
12/30/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Joselito Guzman - AdministratorTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff does not safeguard resident's cash resources
INVESTIGATION FINDINGS:
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On 12/30/25 at 9AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegation. LPA met with the Care staff, Vincent Catequista explained the purpose of the visit. Administrator (ADM), Joselito Guzman was not available during the time of the visit. LPA spoke via phone and explained the purpose of the visit to ADM, and received verbal permission for Care staff, Vincent Catequista, to sign the report. ADM later arrived at the facility at around 10AM.


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-20251027124807
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: C & L HOME FOR THE ELDERLY
FACILITY NUMBER: 015601347
VISIT DATE: 12/30/2025
NARRATIVE
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Report continued...

Allegation: Staff does not safeguard the resident's cash resources- Unsubstantiated
During the course of the investigation, it was alleged that staff failed to safeguard the residents’ cash resources. Interviews were conducted with the residents, staff, and Resident 1 (R1) social worker (SW). Facility records were reviewed, including the resident’s cash ledger, receipts, and policies regarding resident finances.The review showed that the residents’ funds were not being maintained by the facility. Interviews from resident 1 (R1), resident 2 (R2), resident 3 (R3), resident 4 (R4), resident 5 (R5), and resident 6 (R6) did not corroborate the allegation, and no evidence was found to indicate misuse, loss, or being handled by facility staff.

Based on the information obtained, the allegation that staff do not safeguard the resident’s cash resources is unsubstantiated.

Exit interview conducted and a copy of this is 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