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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200741
Report Date: 10/01/2025
Date Signed: 10/01/2025 02:53:52 PM

Substantiated


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
08/05/2025 and conducted by Evaluator Laura Hall
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250805145625
FACILITY NAME:ANGEL'S LOVE RCFEFACILITY NUMBER:
079200741
ADMINISTRATOR:BADEO, MARCELINA M.FACILITY TYPE:
740
ADDRESS:281 PUEBLO DRIVETELEPHONE:
(925) 876-0605
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:6CENSUS: 6DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Adora Teves, CaregiverTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee did not ensure residents were provided 60 day written notice for rent increase

Staff does not ensure the food served is of good quality
INVESTIGATION FINDINGS:
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On 10/1/2025 at 1:45pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver a complaint finding for the allegations above. LPA met with Adora Teves, Caregiver, and explained the reason for the visit. Administrator, Marcelina Badeo, arrived at 2:23pm.

During the course of the investigation the Department conducted interviews with staff, witnesses, residents, obtained and reviewed records.

Allegation: Licensee did not ensure residents were provided 60 day written notice for rent increase.

Continued on LIC9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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 6
Control Number 15-AS-20250805145625
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: ANGEL'S LOVE RCFE
FACILITY NUMBER: 079200741
VISIT DATE: 10/01/2025
NARRATIVE
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Continued from LIC9099.

During the initial interview W1 stated R1’s rent was being raised, and the facility did not provide anything writing or give a 60-days’ notice. S1 stated during the interview that R2, R4, and R5’s was being increased not R1. S1 stated a notice was given to the three (3) residents. LPA reviewed the rate increase notices and observed the notices indicated it was given February 21, 2025, and would be effective on April 1, 2025, therefore, the required 60-days’ notice was not given.

Allegation: Staff does not ensure the food served is of good quality

During the initial interview W1 stated the facility only serves ethnic foods and if the residents don’t like the food they are served peanut butter and jelly. S1 stated the residents have a variety of foods for breakfast, lunch, and dinner is pretty much set. If a resident does not like what is made, they are given options such as buying their own food, a sandwich, or sometimes staff will purchase something. R1 stated the food is ok and is given a sandwich if he doesn’t like what is cooked. R2 stated the food is ok but feels more snacks are needed. LPA toured kitchen and observed there was a lot of pork, ¼ gallon of milk, 1 gallon of orange juice, not enough perishables or snacks.

Based on interviews which were conducted, record review, and observation the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Exit interview conducted. A copy of the appeal rights and this report provided.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 15-AS-20250805145625
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: ANGEL'S LOVE RCFE
FACILITY NUMBER: 079200741
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/08/2025
Section Cited
HSC
1569.655
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§1569.655 Increase in fee rates for elderly residents; 60 days’ written notice stating amount of and reasons for increase; application of section
This requirement was not met as evidence by:
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Administrator agreed to issue a correct 60-day notice to increase fees and submit a copy of the notices to CCLD by POC date.
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Based on record review the Licensee did not comply with the section cited above in issuing a legal 60-day eviction letter, which poses a potential personal rights risk to persons in care.
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Type B
10/08/2025
Section Cited
CCR
87555(b)(5)
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(b) The following food service requirements shall apply: (5) Meals shall consist of an... variety of foods and shall be planned with consideration for cultural... background and food habits of residents.
This requirement was not met as evidence by:
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On today's date LPA observed a variety of perishable and non-perishables foods for the residents. Deficiency cleared.
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Based on observation the Licensee did not comply with the section cited above in having a variety of foods for the residents 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: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
08/05/2025 and conducted by Evaluator Laura Hall
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250805145625

FACILITY NAME:ANGEL'S LOVE RCFEFACILITY NUMBER:
079200741
ADMINISTRATOR:BADEO, MARCELINA M.FACILITY TYPE:
740
ADDRESS:281 PUEBLO DRIVETELEPHONE:
(925) 876-0605
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:6CENSUS: 6DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Adora Teves, CaregiverTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff is financially abusing residents
Staff does not ensure residents medications are properly managed
Staff verbally threatens to evict residents in care
Staff does not ensure residents are spoken to in an appropriate manner
Staff do not have the ability to communicate with residents in care
INVESTIGATION FINDINGS:
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On 10/1/2025 at 1:45pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver a complaint finding for the allegations above. LPA met with Adora Teves, Caregiver and explained the reason for the visit. Administrator, Marcelina Badeo, arrived at 2:23pm.

During the course of the investigation the Department conducted interviews with staff, witnesses, residents, obtained and reviewed records.

Allegation: Staff is financially abusing residents

During the initial interview W1 stated S1 had taken $25,000 from R1’s account. On 9/25/2025, W1 was interviewed and stated after speaking

Continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 15-AS-20250805145625
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: ANGEL'S LOVE RCFE
FACILITY NUMBER: 079200741
VISIT DATE: 10/01/2025
NARRATIVE
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Continued from LIC9099A.

with the bank staff and reviewing R1’s bank statements it revealed the person that was taking R1’s money and it wasn’t anyone at the facility. R1 stated during interview that he helps a family member financially and that’s why he doesn’t have any money to pay rent or buy his medication.

Allegation: Staff does not ensure residents’ medications are properly managed

During the initial interview W1 stated R1’s medication was out for three (3) days, and the pharmacy had not been paid. S1 stated R1 could not pay for the medication and S1 bought the medication because it was necessary. S1 stated R1 told her he would pay her back when he could. LPA reviewed hand-written notes and invoices from Sycamore Medical Pharmacy that indicated the amount owed by R1 but paid by S1. During the interview on 9/25/2025, W1 stated that the misunderstanding regarding the medications have been corrected. The pharmacy is not being paid directly.

Allegation: Staff verbally threaten to evict residents in care

During the initial interview W1 stated that S1 threaten to evict residents due to them not complying to pay an additional $1000.00 per month. S1 stated she was increasing the rent for R2, R4, and R5 by $500.00 per month. S1 stated increases had not occurred since those residents moved into the facility. W1 stated after interviewing on 9/25/2025, the resident wasn’t threatened it was an explanation of the reason to be evicted.

Continued on LIC9099C.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 15-AS-20250805145625
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: ANGEL'S LOVE RCFE
FACILITY NUMBER: 079200741
VISIT DATE: 10/01/2025
NARRATIVE
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Continued from LIC9099C.

Allegation: Staff does not ensure residents are spoken to in an appropriate manner

During the initial interview W1 stated S1 is disrespectful to all the residents when talking to them. S1 stated she or either of the other staff have spoken to the residents in an inappropriate manner. R1 and R4 stated all the staff treat them nicely. Neither did the residents observe or hear any staff being disrespectful.

Allegation: Staff do not have the ability to communicate with residents in care

During the initial interview W1 stated the staff at the facility does not speak fluent English and the residents are not able to communicate their needs effectively. S1 stated all her staff speaks English and there has not been a problem communicating with the staff. During interviews with R1 and R4, both stated there isn’t any problem communicating with the staff. During past and present visits, the LPA observed communication between the staff and the residents and did not observe any problems.

Based upon the interviews conducted and the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of report was given.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6