Senior Care Records.

Facility Evaluation Report

Dell's Residential Home, Antioch10/08/2025Licence 075600400

Capacity4
Census4
Date signed10/08/2025 12:39:05 PM
Name of licensing program analystLaura Hall
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 10/8/2025, at 11:50am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Ricky Hazan, Direct Support Staff, and explained the reason for the visit. Tracy Mitchell, Direct Staff Support, arrived at 12:10pm.

While LPA L. Hall was conducting a complaint investigation (15-AS-20250627165103) on 10/8/2025. Upon arrival LPA observed the one (1) staff with four (4) clients. One (1) client was sitting at kitchen table and the other three (3) clients were in the garage.

The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report, LIC421FC, and appeal rights provided

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