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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201344
Report Date: 02/25/2025
Date Signed: 02/25/2025 05:03:59 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
02/20/2025 and conducted by Evaluator James Sampair
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250220162501
FACILITY NAME:WIMBLEDON WALNUT CREEK CARE HOMEFACILITY NUMBER:
079201344
ADMINISTRATOR:YOKDANG, NUCHAREEFACILITY TYPE:
740
ADDRESS:727 WIMBLEDON RDTELEPHONE:
(925) 457-5059
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 6DATE:
02/25/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee / Administrator Nucharee (Joy) YokdangTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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9
Staff sleeping while on duty.
INVESTIGATION FINDINGS:
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On 2/25/2025, at 1:30 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to investigate the allegation above. Upon arrival, the LPA informed Licensee / Administrator Nucharee (Joy) Yokdang of the purpose of the visit.

The complaint alleges staff sleeping while on duty.
The LPA interviewed Witness W1 by telephone; W1 stated that they had not filed a complaint. Walnut Creek Police Officer O’Brien, Badge #P549, conducted a welfare check on 2/21/25, reported to the Department that S1 is on call during the night and is on the premises. The LPA interviewed the Licensee and examined the time sheets for Staff S1. The LPA interviewed 4 residents, R1, R2, R3, and R4, as well as family member Witness W2, asking them, “If you or your family member wakes up during the night, do staff members assist you in a timely manner?” All residents and the family member stated that residents were assisted in a timely manner if they wake during the night. The data collected from the interviews and record review showed no staff are sleeping while on duty.

Continued on LIC 9099-C . . .
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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-20250220162501
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: WIMBLEDON WALNUT CREEK CARE HOME
FACILITY NUMBER: 079201344
VISIT DATE: 02/25/2025
NARRATIVE
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....Continued from LIC 9099

The allegation is false, could not have happened, and/or is without a reasonable basis; therefore, the allegation is UNFOUNDED.

Exit interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2