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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019201063
Report Date: 11/12/2025
Date Signed: 11/12/2025 12:51:12 PM

Unfounded


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
11/04/2025 and conducted by Evaluator Patricia Manalo
COMPLAINT CONTROL NUMBER: 15-AS-20251104162829
FACILITY NAME:AEGIS GARDENSFACILITY NUMBER:
019201063
ADMINISTRATOR:POON, EMILYFACILITY TYPE:
740
ADDRESS:36281 FREMONT BLVDTELEPHONE:
(510) 739-0909
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:85CENSUS: 71DATE:
11/12/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Emily Poon, Senior General Manager TIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are physically abusing resident in care.
Staff are emotionally abusing resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/12/2025 at 11:30 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct a complaint investigation and deliver the findings on the above allegations. LPA met with Senior General Manager, Emily Poon, and explained the purpose of the visit.

During the course of investigation, LPA interviewed staff and witness. LPA obtained and reviewed resident roster, staff roster, visitor log dated 10/27/2025 to 10/31/2025, and facility's move-in and move-out report within the last year. It was discovered that complaint was generated under the wrong facility, therefore all allegations are unfounded.

We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
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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