Complaint Investigation Report

079201276-11-7-2025-15-AS-HHUL-DNCV9P-20251112151438

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

08/22/2025 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20250822143430

On 11/07/2025 at 10:10AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Marian Pitschner.

On the allegation: Staff withheld resident’s personal funds.

Based in interviews and records review, R1 had asked facility staff for $40 for a day program outing. In interviews with S1 they stated that R1 did not have the “slip” that the day programs normally provides. In interviews with day program staff W1 stated that they will provide a slip often to remind the clients or their homes about outings they do not always.

Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D.Exit interview conducted. Appeal Rights and a copy of this report provided