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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701355
Report Date: 09/03/2026
Date Signed: 09/03/2026 10:54:50 AM

Unsubstantiated


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
07/08/2026 and conducted by Evaluator Melina Oropeza
COMPLAINT CONTROL NUMBER: 27-AS-20260708085133
FACILITY NAME:CLEO'S HOME 3FACILITY NUMBER:
392701355
ADMINISTRATOR:BRELIN, CLEOFACILITY TYPE:
740
ADDRESS:1662 DEDINI LNTELEPHONE:
(408) 512-4890
CITY:RIPONSTATE: CAZIP CODE:
95366
CAPACITY:6CENSUS: 4DATE:
09/03/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Edwin DimaculanganTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff do not prevent a rodent infestation
INVESTIGATION FINDINGS:
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On 09/03/2026 Licensing Program Analyst (LPA) Melina Oropeza arrived at facility unannounced to continue a complaint investigation in to the above listed allegation. LPA Oropeza met with staff, Edwin Dimaculangan and explained explained the purpose of today's visit. The administrator, Cleo Brelin was contacted and LPA explained the purpose of today's visit. The administrator was unavailable due to having a previous scheduled appointment.

LPA toured the interior and exterior of the facility, conducted interviews and reviewed pest control records. During the facility inspection, LPA did not observe rodents, rodent droppings, nesting materials, foul odors, or other evidence of an active rodent infestation. Pest control records were reviewed and indicated that the facility receives pest control services and has measures in place to address rodent activity.

Based on observations, interviews conducted and records reviewed, there is insufficient evidence to determine that staff failed to prevent or address a rodent infestation, the allegations are unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
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-20260708085133
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: CLEO'S HOME 3
FACILITY NUMBER: 392701355
VISIT DATE: 09/03/2026
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore, the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of the report was given to staff member, Edwin Dimaculangan . No citations were issued per Title 22 regulations.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Melina Oropeza
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2