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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201241
Report Date: 08/27/2025
Date Signed: 08/27/2025 06:01:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 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
08/19/2025 and conducted by Evaluator Lori Alexander-Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250819105445
FACILITY NAME:KENSINGTON AT WALNUT CREEK, THEFACILITY NUMBER:
079201241
ADMINISTRATOR:VILLANUEVA, JOSEPHFACILITY TYPE:
740
ADDRESS:1580 GEARY ROADTELEPHONE:
(925) 973-1121
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:200CENSUS: 156DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Deborah Bradley, Assistant Executive DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff does not ensure facility is free of pests.
INVESTIGATION FINDINGS:
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On 08/27/2025 at 10:15 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct an initial 10-day complaint investigation in regard to the allegation above. LPA met with Assistant Executive Director, Deborah Bradley and Interim Executive Director, Ricardo Romero and informed the reason for visit.

During the course of investigation, LPA L. Alexander interviewed staff (S), obtained and reviewed copies of Western Exterminator Company service maintenance for 07/31/25, 08/16/25 and 08/22/25.

LIC9099-C Continued...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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-20250819105445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: KENSINGTON AT WALNUT CREEK, THE
FACILITY NUMBER: 079201241
VISIT DATE: 08/27/2025
NARRATIVE
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LIC9099-C (Page 2)

Allegation: Staff does not ensure facility is free of pests.
Unsubstantiated.

On 08/19/2025 LPA L. Alexander interviewed W1, that stated they received an email with video of a rat stuck to a glue board. On 08/27/2025 LPA Alexander interviewed S1 that confirmed the video location was in the dried foods pantry. S1 stated that the rodent was caught approximately one month ago on a glue board trap. S1 stated that they have a service contract with an exterminator company as well as they started service with Eco-Lab that are coming out to the facility weekly. LPA interviewed S2 that stated whenever there's any pests they will call an exterminator to come check.

LPA toured the kitchen area, dried foods pantry and outside area where deliveries come in. LPA did not observe any pests during visit. LPA reviewed Summary of Service from Western Exterminator Company with service dates 07/31/25, 08/16/25 and 08/22/25 that showed traps and monitoring for pests is taking place.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2