Complaint Investigation Report

Jackson House IV, San Leandro12/10/2025Licence 015600532

Census4
Date signed12/10/2025 05:32:14 PM
The inspector’s account

LPAs observed facility had large amounts of expired non-perishable food supplies during visit on 9/22/2025. There was about 4-5 bags full of expired food.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED . California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted with Wardell Jackson. A copy of this report and appeal rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction