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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392700475
Report Date: 01/28/2026
Date Signed: 01/30/2026 01:58:40 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
10/30/2025 and conducted by Evaluator Albert Johnson
COMPLAINT CONTROL NUMBER: 27-AS-20251030115830
FACILITY NAME:OAKS AT INGLEWOOD ASSISTED LIVING, THEFACILITY NUMBER:
392700475
ADMINISTRATOR:THA CHAYFACILITY TYPE:
740
ADDRESS:6725 INGLEWOOD AVETELEPHONE:
(209) 957-6257
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:86CENSUS: 70DATE:
01/28/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Tha ChayTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff do not provided adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to deliver findings for the above allegation.

Allegation: Staff do not provided adequate food service. Based on records reviewed and observation on 10/09/25, 10/31/25, 11/14/25, and 12/15/25. LPA also reviewed facility’s menu. Based on record review, and observation, it was determined that facility is serving food consistent with published menu. Additionally, interviews conducted did not reveal corroborated statements of inadequate food service.

As a result, there is not a preponderance of evidence to conclude that staff are not providing adequate food service to residents, therefore, this allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026
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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