<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397004497
Report Date: 06/13/2025
Date Signed: 06/23/2025 12:22:57 PM

Substantiated


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
12/12/2024 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20241212104552
FACILITY NAME:NEW HOPE GUEST HOME-ALPINEFACILITY NUMBER:
397004497
ADMINISTRATOR:ROBERT FELIXFACILITY TYPE:
740
ADDRESS:3008 W. ALPINE AVENUETELEPHONE:
(209) 941-0519
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:6CENSUS: 6DATE:
06/13/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:R FelixTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not have funds to pay facility bills
Licensee did not report power outage
Licensee allowed residents to live in a facility without power
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Allegation: Licensee does not have funds to pay facility bills- During the course of the investigation, the Department conducted a solvency audit and conducted interviews. The audit conducted by the department found that the licensee's bank statements deposits show that the licensee is mixing revenue funds from his ARF and RCFE facilities into different bank accounts, which makes it difficult to isolate what revenue is attributable to this facility. Although the bank deposits were more than the rent roll or reported Board & Care revenue, the specific revenue of this facility could not be concluded as sufficient to cover the operating expenses of this facility. Substantiated.

Allegation: Licensee did not report power outage- Deputy Sheriff contacted CDSS and PG&E and discovered the power was turned off because the facility failed to make a payment on 12/09/2024. Licensee met with Deputy and stated they did pay the bill. The bill showed a completed payment as of 12/12/2024. The generator is currently working. The licensee stated he relied on the generator and thought because he had the generator he didn't think he had to report it. Substantiated

Allegation: Licensee allowed residents to live in a facility without power. The facility was without power for five (5) days. Staff told Deputy that they are running off a generator, but the generator has been turning on and off. Deputy went to the facility at 9:05 AM on 12/12/2024 and observed the generator to be in working condition.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
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 27-AS-20241212104552
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: NEW HOPE GUEST HOME-ALPINE
FACILITY NUMBER: 397004497
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2025
Section Cited
CCR
87405(d)(1)
1
2
3
4
5
6
7
 87405 – Administrator Qualifications and Duties. Administrator Qualifications and Duties. (d) The administrator shall have the qualifications...(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met as evidenced by: Not reporting the incident and failing to get current with financial obligations
1
2
3
4
5
6
7
The Administrator will review 87405 and submit a letter to confirm understanding of this regulation to the department by POC date.
Type B
06/20/2025
Section Cited
CCR
87205
1
2
3
4
5
6
7
 87205, Accountability of LicenseeThe licensee... shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement was not met as evidenced by: utility bill not being paid timely and reporting requirements.
1
2
3
4
5
6
7
The licensee will be on Financial Monitoring for a period of three months or until it is evident that
the licensee has an adequate financial plan in place. The first due date being 7/15/2025 (for April, May, June 2025
monitoring period)
Financial Monitoring documents to submit for review to include utility bills, bank statements - all pages for all accounts the
facility uses; LIC 401 & LIC 403. The licensee to segregate the RCFE revenue and expenses, and bank statements from
ARF.
Type B
06/20/2025
Section Cited
CCR
87213
1
2
3
4
5
6
7
87213 - Finance; RecordsThe licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...
1
2
3
4
5
6
7
Licensee agrees to email LPA a written financial record of opersting expenses monthly for the next three months begining 7/1/2025

Licensee agrees to email POC by 7/1/2025
8
9
10
11
12
13
14
This requirement is not met as evidenced by:Interviews and file reviews, the licensee did not ensure to have the sufficient resources to meet operating costs for utilities in December of 2024. This posed a potential health and safety risk to residents in care.

8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2