Complaint Investigation Report

Contra Loma Home LLC, Antioch02/09/2024Licence 079201246

Census2
Date signed02/12/2024 09:04:47 AM
The inspector’s account

079201246-2-12-2024-15-AS-BFOG-D2FVWF-20240214154748

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/24/2024 and conducted by Evaluator Luisa Fontanilla

COMPLAINT CONTROL NUMBER: 15-AS-20240124094255

RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health & safety of clients in care.

On 02/9/2024 at around 10:25am, Licensing Program Analyst (LPA) L. Fontanilla conducted an unannounced visit to deliver the finding of the allegation. LPA was met by one female renter who states Licensee has not been at the facility for 8 days. LPA contacted the Licensee on the phone and informed her about LPA visit. Licensee arrived at around 10:54 am.

Based on evidence obtained during the course of this investigation on 1/25/2024, the Department has substantiated the allegation that an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that may pose a risk to the health and safety of the client(s) in care at a facility licensed by the department. This is a factual determination based on all of the facts and circumstances of the case.

Deficiency is cited per Title 22 Regulations (refer to Lic 9099D). Exit interview is conducted, Appeal Rights and a copy of this report was provided to Licensee.

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