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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209399
Report Date: 03/20/2026
Date Signed: 03/20/2026 09:00:11 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
03/11/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260311094340
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:
12:00 PM
MET WITH:House manager Victoria MontoyaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not ensuring that resident's privacy is protected
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 to allegation 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.
Allegation: Staff is not ensuring that resident's privacy is protected. Based on interviews and records reviews no violation of title 22 observed that would jeopardize resident's privacy. Although the allegation may have happened or 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.
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)
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