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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200825
Report Date: 04/17/2026
Date Signed: 04/17/2026 03:38:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2026 and conducted by Evaluator Alona Gomez
COMPLAINT CONTROL NUMBER: 15-AS-20260413084301
FACILITY NAME:BLUEMEADOW CAREFACILITY NUMBER:
079200825
ADMINISTRATOR:HUANG, YANLINFACILITY TYPE:
740
ADDRESS:3262 MONTEVIDEO DRTELEPHONE:
(925) 833-2677
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:6CENSUS: 4DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Caregiver, Edel Ann MangaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff interfered with the ombudsman's ability to perform their duties
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/17/2026 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct complaint investigation for the above allegation. LPA met with Caregiver, Edel Ann Manga and explained the purpose of the visit. Administrator Yanlin "Cynthia" Huang was unavailable and approved caregiver to sign off on report via telephone call.

During the complaint investigation, LPA spoke with the Administrator over the phone who acknowledged that they did not give the documents/information for a resident to the ombudsman upon request as of todays date however upon review of regulation it was determined that the action did not violate Title 22 regulation therefore the allegation is Unsubstanciated.

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.

Exit interview conducted and a copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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