<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209399
Report Date: 03/20/2026
Date Signed: 03/20/2026 09:02:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/19/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260319101112
FACILITY NAME:DEL MONTE CAREFACILITY NUMBER:
277209399
ADMINISTRATOR:CABUCO, KAYFACILITY TYPE:
740
ADDRESS:1221/1229 DAVID AVETELEPHONE:
(919) 439-8488
CITY:PACIFIC GROVESTATE: CAZIP CODE:
93950
CAPACITY:65CENSUS: 41DATE:
03/20/2026
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:House manager Victoria MontoyaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident’s room is not kept in clean and sanitary condition.
Staff did not ensure resident was provided with clean linen and or bedding
Staff do not ensure resident has access to a telephone
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/20/2026, Licensing Program Analyst (LPA) V. Gorban arrived commence complaint investigation t oallegations stated above. LPA explained the purpose of the visit to house manager Victoria Montoya and was allowed entry.
During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records.
The Department has investigated the allegations: Resident’s room is not kept in clean and sanitary condition and Staff did not ensure resident was provided with clean linen and or bedding. Based on observation during facility tour LPA toured random rooms and observed trash cans empty and rooms appear clean with clean linen on beds. Based on interviews and record reviews, beding linen available and replaced by staff either on residents shower days or sooner if requested. Facility staff provide light cleaning daily and twice a week provide deep cleaning to each residents rooms. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore above allegations are UNSUBSTANTIATED.
Report continues on attached LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
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 24-AS-20260319101112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: DEL MONTE CARE
FACILITY NUMBER: 277209399
VISIT DATE: 03/20/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff do not ensure resident has access to a telephone.
Based on observations and interviews, the facility has a working telephone, accessible to residents to use when asked. The number provided in the advertisement is up to date. 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 above allegation is UNSUBSTANTIATED.

No deficiencies issued.

Exit interview conducted. Report signed on-site. A copy of this report provided to the facility representative.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2