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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002815
Report Date: 09/18/2025
Date Signed: 09/18/2025 01:20:30 PM

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
02/28/2025 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20250228114651
FACILITY NAME:DANI'S HELPING HANDS, INC.FACILITY NUMBER:
345002815
ADMINISTRATOR:HAZZIEZ, DANIELLEFACILITY TYPE:
740
ADDRESS:108 REMINGTON DR.TELEPHONE:
(916) 201-4862
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:6CENSUS: DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
10:13 AM
MET WITH:Hakim HazziezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not safeguard resident's personal items
Staff did not issue refund to resident's authorized representative
Staff modified resident's admission agreement without notifying resident's authorized representative
INVESTIGATION FINDINGS:
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On September 18, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to deliver the findings of the allegations. LPA met with and explained the purpose of the visit.

During the course of the investigation, LPA reviewed staff records, facility records, and conducted interviews. LPA finds that facility met Tittle 22 requirements

For the result of the allegations: Staff did not safeguard resident's personal items; Staff did not issue refund to resident's authorized representative; and Staff modified resident's admission agreement without notifying resident's authorized representative; please continue on LIC 9099-C.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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 59-AS-20250228114651
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: DANI'S HELPING HANDS, INC.
FACILITY NUMBER: 345002815
VISIT DATE: 09/18/2025
NARRATIVE
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LIC 9099-C

Allegation: Staff did not safeguard resident's personal items
Based on the interview conducted with the Administrator, it revealed that the resident (R1) was not able to gather all personal belongings during the time of moving out. However, on February 14, 2025, R1's responsible party arrived at the facility to gather R1’s belongings including the painting set. The interview conducted with R1’s responsible party revealed that all of R1’s personal belongings were gathered and retrieved. No indication of R1 having any missing items.

Allegation: Staff did not issue refund to resident's authorized representative
Interview conducted with Administrator revealed during the time out R1 moving out on January 24, 2025, R1's responsible party failed to take all of R1's personal belongings. Remaining was approximately R1's shaver set, battery charger, a foldable walker, a set of bed sheets and three painting canvases. Text messages provided revealed that responsible party agreed to grab the remaining of the belongings "next week" however, home security video revealed personal belongings were not retrieved until three weeks later on February 14, 2025. Admission agreement signed by R1's responsible party on September 2, 2024 revealed that it was agreed basic rate will continue to accrue until all personal belongings are removed from the facility.

Allegation: Staff modified resident's admission agreement without notifying resident's authorized representative
Based on file review of responsible party's agreement agreement and facility's admission agreement, LPA has determined they are the same admission agreement with no alteration.

With the information provided above, LPA has determined the allegations are unfounded. Unfounded meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of the report was provided.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2