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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200574
Report Date: 07/15/2025
Date Signed: 07/15/2025 01:57:11 PM

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
06/04/2025 and conducted by Evaluator Carol Fowler
COMPLAINT CONTROL NUMBER: 15-AS-20250604093137
FACILITY NAME:ABSOLUTE CARE FOR LIFEFACILITY NUMBER:
079200574
ADMINISTRATOR:LEVIN, EMCY MADRIAGAFACILITY TYPE:
740
ADDRESS:1700 MARLESTA ROADTELEPHONE:
(510) 478-8926
CITY:PINOLESTATE: CAZIP CODE:
94564
CAPACITY:6CENSUS: 6DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:GLORYCIEL CABANTING, CAREGIVERTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not ensure residents are served food of good quality.
Staff are not following resident’s doctor's orders.
Staff do not provide activities for residents.
INVESTIGATION FINDINGS:
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On 07/15/2025 at 12:50pm, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegations above. LPA met with Gloryciel Cabanting, Caregiver and explained the reason for the visit. LPA spoke with Administrator via phone call.

During the investigation LPA toured the facility and observed the food in the facility and in the garage, conducted interviews with residents, and staff. LPA obtained and reviewed physician report, after visit summaries, facility menus, a photo of a meal.

Continue on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 3
Control Number 15-AS-20250604093137
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: ABSOLUTE CARE FOR LIFE
FACILITY NUMBER: 079200574
VISIT DATE: 07/15/2025
NARRATIVE
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Continue from LIC 9099

Allegation Staff do not ensure residents are served food of good quality.

Investigation Finding: unsubstantiated.

During interviews with resident 1 (R1) revealed R1 is happy and satisfied with the meals being served at the facility. Interview with R2 revealed that they often have Oatmeal form breakfast, and the meals are sometimes great and sometimes as it comes. Interview with staff revealed that all staff are cooking meals and always give options as an input of meals that will be prepared for the day, and an option if the residents are unhappy with the meals the care staff will prepare the residents with what they would like to eat.

LPA toured the facility and inspected the food pantry, refrigerator, freezer in the kitchen and in the garage, all food was fresh and of good quality. LPA observed lunch that was prepared for the residents that appeared fresh and healthy. Therefore, this allegation is UNSUBSTANTIATED

Allegation Staff are not following resident’s doctor's orders.

Investigation Finding: unsubstantiated.

During the investigation LPA interviewed staff which revealed that R1 does not have a special diet request from R1s physician but W1 requests the facility to modify R1s diet. LPAs Review of R1s physicians report reveled that R1 dose not have a special diet request noted from R1s physician. Therefore, this allegation is UNSUBSTANTIATED

Continue on LIC 9099C

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 15-AS-20250604093137
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: ABSOLUTE CARE FOR LIFE
FACILITY NUMBER: 079200574
VISIT DATE: 07/15/2025
NARRATIVE
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Continue from LIC 9099

Allegation Staff do not provide activities for residents.

Investigation Finding: unsubstantiated.

During the investigation LPA interviewed staff and residents. S1 stated that the facility has plenty of activities such as puzzles, books, crossword puzzles, walks, listening to books on tape. Interview with S2 revealed that the facility has crossword puzzles, listening to books, rosaries and walking the dogs and residents enjoy visiting each other. Interview with S3 revealed the facility are things like chatting with each other, listening to books, puzzles, crossword puzzles and S3 tries to get residents to exercise. Interview with R1 revealed that R1 talks with others at the facility, plays mind games, puzzles, reads and walks R1s dogs in the back yard and down the street with staff. Interview with R2 revealed that R1 visits with roommate and works on word search and has books and doesn’t get out much. Therefore, this allegation is UNSUBSTANTIATED

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3