019200462-6-19-2025-15-AS-KHOS-DJ7JKE-20250702070700

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200462
Report Date: 06/19/2025
Date Signed: 06/19/2025 01:58:47 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
06/17/2025 and conducted by Evaluator James Sampair

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20250617082117

FACILITY NAME:	JULIAN FAMILY CAREHOME		FACILITY NUMBER:	019200462
ADMINISTRATOR:	MARCIAL D. JULIAN		FACILITY TYPE:	740
ADDRESS:	26798 CONTESSA STREET		TELEPHONE:	(510) 783-5216
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94545
CAPACITY:	6	CENSUS: 4	DATE:	06/19/2025
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Licensee / Administrator Marcial Julian		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are financially abusing resident

INVESTIGATION FINDINGS:

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On 6/19/2025, at 9:45 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to investigate the allegation above. Upon arrival, the LPA informed Caregivers S1 and S2 of the purpose of the visit. The Licensee / Administrator Marcial Julian arrived at the facility at approximately 10:05 AM.

The complaint alleges staff are financially abusing resident.
The LPA interviewed Witness W1 by telephone. The LPA interviewed Resident R1, reviewed R1's physician's report and R1's financial statements. The LPA interviewed the Licensee and S1. The LPA reviewed the facility's financial records. The data collected from the interviews and the review of records shows that the staff are acting in best interest of R1, which does not confirm the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: James Sampair
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025

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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