392700993-4-3-2026-27-AS-LRIS-DSZU4J-20260410151509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700993
Report Date: 04/02/2026
Date Signed: 04/03/2026 12:59:02 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
12/01/2025 and conducted by Evaluator Albert Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20251201111118

FACILITY NAME:	A1 DEL MONTE STOCKTON		FACILITY NUMBER:	392700993
ADMINISTRATOR:	SANDEEP SAINI		FACILITY TYPE:	740
ADDRESS:	517 E. FULTON STREET		TELEPHONE:	(209) 910-5910
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95204
CAPACITY:	158	CENSUS: 157	DATE:	04/02/2026
		UNANNOUNCED	TIME BEGAN:	11:06 AM
MET WITH:	Neil Mehta		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff do not change the residents soiled linen in a timely manner
Staff do not wash the residents clothing in a timely manner
Staff do not meet resident’s incontinence needs
Staff do not safeguard resident’s personal belongings
Staff verbally assault resident
Staff did not prevent resident from being hit in an aggressive manner by another resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Albert Johnson arrived at facility unannounced to open deliver findings into the above listed allegations.

Allegation: Staff do not change the residents soiled linen in a timely manner. Based on records reviewed including daily records documenting each resident’s ADL status, including bathing, grooming, laundry, and linen changes. Notes also reflect any refusals and subsequent rescheduling efforts, consistent with the resident’s rights and preferences.

Allegation: Staff do not wash the residents clothing in a timely manner. Records reviewed for Shower/Linen Schedule Indicates the planned schedule for showers, laundry services, and linen changes. If a resident declines, staff documented the refusal and rescheduled services consistent with Title 22 and the resident’s personal rights.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

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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Control Number 27-AS-20251201111118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: A1 DEL MONTE STOCKTON	FACILITY NUMBER: 392700993
	VISIT DATE: 04/02/2026

NARRATIVE

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Allegation: Staff do not meet resident’s incontinence needs. Based on interviews and records reviewed including daily records documenting each resident’s ADL status, including bathing, grooming, laundry, and linen changes. Notes also reflect any refusals and subsequent rescheduling efforts, consistent with the resident’s rights and preferences.

Allegation: Staff do not safeguard resident’s personal belongings. Interviews with residents and review of the LIC 621 – Resident Personal Property and Valuables Inventory the facility updates form to reflect items reported or verified by the resident. Documentation demonstrates compliance with residents’ rights regarding property protection and inventory accuracy.

Allegation: Staff verbally assault resident. Interviews conducted and records reviewed including entries documenting observable changes in behavior, mood, medical condition, or other matters pertinent to the resident’s care needs. Notes indicate staff interventions and follow-up actions. All resident interviewed denied staff verbally abusing residents.

Allegation: Staff did not prevent resident from being hit in an aggressive manner by another resident. Based on records reviewed and interviews conducted the facility has intervened with aggression between residents. The incidents are reported and intervention techniques are used to assist the residents in alterative interactions.

As a result, it is determined that there is not a preponderance of evidence to prove these allegations occurred, therefore, this allegation is UNSUBSTANTIATED. An exit interview was conducted

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026

LIC9099 (FAS) - (06/04)

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