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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345003012
Report Date: 11/19/2025
Date Signed: 11/19/2025 10:11:42 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
09/15/2025 and conducted by Evaluator Lavinia Muscan
COMPLAINT CONTROL NUMBER: 59-AS-20250915115843
FACILITY NAME:LITTLE BROOK CARE HOME #2FACILITY NUMBER:
345003012
ADMINISTRATOR:POP, PERSIDAFACILITY TYPE:
740
ADDRESS:3840 DELL RDTELEPHONE:
(916) 514-0678
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 3DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator Persida PopTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff are not assisting resident with ambulation
Licensee does not ensure that staff receives required training
INVESTIGATION FINDINGS:
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On November 19, 2025, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Persida Pop.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

**Report continued on 9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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-20250915115843
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: LITTLE BROOK CARE HOME #2
FACILITY NUMBER: 345003012
VISIT DATE: 11/19/2025
NARRATIVE
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Staff are not assisting resident with ambulation
During the investigation the department interviewed residents and completed file reviews. Six (6) out of six (6) resident interviews stated that staff meet resident care needs and respond in a timely manner, including helping them get out of bed when they want or need. Due to the information gathered, the Department finds the allegation to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Licensee does not ensure that staff receives required training
The Department reviewed records regarding the allegation above. Records revealed that staff have adequate training (on boarding and ongoing) in infection control guidelines and other required topics. Records also show that the facility has adequate supplies of PPE and other care items to take care of residents. Record reviews indicated that the facility has all the required documentation regarding staff training per Title 22 Regulations. Department determined that training provided was current and met regulation standards. Therefore, the Department finds the allegation to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. Report left with facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2