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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200673
Report Date: 04/03/2026
Date Signed: 04/03/2026 10:41:43 AM

Substantiated


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
01/21/2026 and conducted by Evaluator Patricia Manalo
COMPLAINT CONTROL NUMBER: 15-AS-20260121110338
FACILITY NAME:D'NALOR CARE HOMES, LLCFACILITY NUMBER:
019200673
ADMINISTRATOR:WILSON, ROLANDFACILITY TYPE:
740
ADDRESS:2706 106TH AVETELEPHONE:
(510) 756-6122
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:6CENSUS: 6DATE:
04/03/2026
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Roland Wilson, Administrator TIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Staff took away resident's personal phone
INVESTIGATION FINDINGS:
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On 04/03/2026 at 9:10 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to deliver the findings on the above allegation. LPA met with Administrator, Roland Wilson, and explained the purpose of the visit.

During the course of investigation, LPA interviewed staff, residents, and witnesses. LPA obtained and reviewed documents including but not limited to Personnel Report (LIC500), Resident Roster, Staff Contact Information, residents' physician report (LIC602A), Identification and Emergency Information (LIC601), service plan, Personal Rights (LIC613-C), Client/ Resident Personal Property and Valuables (LIC621), communication between responsible party/ family members, Ongoing Resident Notes, and incident reports.

Continue to LIC9099-C…
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
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 3
Control Number 15-AS-20260121110338
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: D'NALOR CARE HOMES, LLC
FACILITY NUMBER: 019200673
VISIT DATE: 04/03/2026
NARRATIVE
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Continued from LIC9099-C…

Allegation: Staff took away resident's personal phone

It was alleged that staff took away resident’s personal phone. Based on interviews conducted, ADM revealed that R1 always has access to the facility phone and is able to use the phone. However, ADM confirmed that R1’s personal phone has been taken away due to R1’s behavior of excessively calling emergency services, family, friends, etc. at random times throughout the day and night. 3 of 5 staff members interviewed all stated that there have been times when paramedics or police would come randomly due to R1’s call.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted. A copy of this report and appeal rights provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 15-AS-20260121110338
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: D'NALOR CARE HOMES, LLC
FACILITY NUMBER: 019200673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/17/2026
Section Cited
CCR
87468.1(a)(12)
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87468.1(a)(12)Personal Rights of Residents in All Facilities To wear their own clothes; to keep and use their own personal possessions, including their toilet articles; and to keep and be allowed to spend their own money.

This requirement is not met as evidenced by:
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By POC date, the Administrator agrees to create a plan with R1's family in regards to R1's phone, give R1's phone back, and continue to allow R1 to use the facility phone whenever R1 requests for it. Proof of correction will be sent to CCLD.
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Based on interviews, the licensee did not comply with the section cited above by taking R1's personal phone away which poses a potential personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3