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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700070
Report Date: 09/03/2025
Date Signed: 09/03/2025 11:22:37 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/02/2025 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250602134335
FACILITY NAME:KIND CONNECTIONFACILITY NUMBER:
342700070
ADMINISTRATOR:DELA PAZ, MA. LOURDESFACILITY TYPE:
740
ADDRESS:8159 WACHTEL WAYTELEPHONE:
(916) 599-0477
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 4DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Lourdes de la Paz, Administrator TIME COMPLETED:
11:25 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared adult(s) are present in the facility.
Residents were exposed to a staff member with Tuberculosis.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sabrina Calzad arrived unannounced to deliver findings to a complaint received on June 2, 2025 and met with Lourdes dela Paz, Administrator and Dennis Abadilla, Administrator Designee. (3) clients were attending day program and (1) client was present during today's inspection, who LPA observed. The findings are follows:

During the investigation, it was determined that the alleged uncleared adult (S1) was never present, or worked, at this facility but at a related facility. The Department received documentation (S1) was finger print cleared before being hired, as well as all other staff. Individual (S2) was also never present at this facility but at a related one. The facility provided negative results of TB testing for all clients and staff at this location, and at the related location. A follow up case management will be conducted at the related location. Based on information obtained, both (2) allegations were determined to be UNFOUNDED- An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
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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