Senior Care Records.

Complaint Investigation Report

Masonic Guest Home, Vallejo02/12/2026Licence 486801443

Census5
Date signed02/12/2026 01:42:45 PM
The inspector’s account

486801443-2-12-2026-21-AS-KMOA-DRFLZN-20260219081209

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

11/21/2025 and conducted by Evaluator Ethel Contreras

COMPLAINT CONTROL NUMBER: 21-AS-20251121143502

Licensing Program Analyst (LPA) Ethel Contreras arrived at this facility unannounced to conduct an investigation into the above allegation and deliver complaint findings. LPA was greeted by adminsitrator Leonida Lacap.

Complaint alleges Personal Rights. Complainant alleges that R1 was struck on the hand as a corrective measure by facility staff. During investigation LPA conducted interviews. 4 out of 4 resident report they have never been hit, slapped, or struck by facility staff. Additionally, all residents interviewed report they have never seen facility staff hit any other residents. LPA also interviewed facility staff. Staff interviewed report they have never hit, slapped, or struck any residents and they have never seen any other staff hit, slap, or strike any residents. So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Copy of report given and read with administrator.

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