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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 071440106
Report Date: 02/24/2026
Date Signed: 02/24/2026 01:16:19 PM

Substantiated


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
11/19/2025 and conducted by Evaluator Tonica Syess-Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20251119160637
FACILITY NAME:CONCORD HOUSEFACILITY NUMBER:
071440106
ADMINISTRATOR:LEYBA, MARY ANNFACILITY TYPE:
735
ADDRESS:2301 MT. DIABLO ST.TELEPHONE:
(925) 825-4423
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:16CENSUS: 12DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Hector Monteil, Direct Support Staff TIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Staff do not provide resident with a variety of food options.
INVESTIGATION FINDINGS:
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On 02/24/2026 at 11:45AM, Licensing Program Analysts (LPAs), T. Syess-Gibson and Andrew Christy arrived unannounced to conduct an investigation and deliver complaint findings for the allegations above. LPAs met with Hector Monteil, Direct Support Staff and explained the reason for the visit. Mary Ann Leyba, Administrator arrived at 12:00PM, LPAs explained the reason for visit.

During the investigation, LPAs conducted interviews with staff (S1, S2) and clients (C1, C2, C3). LPAs also obtained the following documents: staff contact information, client’s roster, clients contact information, client’s emergency contact information, client’s lunch/food preferences, breakfast, lunch and dinner menu and schedules.


Continue on LIC9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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 5
Control Number 15-AS-20251119160637
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: CONCORD HOUSE
FACILITY NUMBER: 071440106
VISIT DATE: 02/24/2026
NARRATIVE
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Continued from LIC9099

Allegation:Staff do not provide resident with a variety of food options.
Based on interviews with C1, C2, C3, it was revealed facility has a menu in place based on preference cards they filled out. However, all clients revealed that they are not allowed to request alternative meals or are dissuaded by staff members from making said requests.


Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.


Exit interview conducted and a copy of report was given.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
11/19/2025 and conducted by Evaluator Tonica Syess-Gibson
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20251119160637

FACILITY NAME:CONCORD HOUSEFACILITY NUMBER:
071440106
ADMINISTRATOR:LEYBA, MARY ANNFACILITY TYPE:
735
ADDRESS:2301 MT. DIABLO ST.TELEPHONE:
(925) 825-4423
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:16CENSUS: 12DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Hector Monteil, Direct Support Staff TIME COMPLETED:
01:35 PM
ALLEGATION(S):
1
2
3
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9
Staff do not provide resident with adequate amounts of food.
INVESTIGATION FINDINGS:
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On 02/24/2026 at 11:45AM, Licensing Program Analysts (LPAs), T. Syess-Gibson and Andrew Christy arrived unannounced to conduct an investigation and deliver complaint findings for the allegations above. LPAs met with Hector Monteil, staff and explained the reason for the visit. Mary Ann Leyba, Administrator arrived at 12:00PM, LPAs explained the reason for visit.

During the investigation, LPAs conducted interviews with staff (S1, S2) and clients (C1, C2, C3). LPAs also obtained the following documents: staff contact information, client’s roster, clients contact information, client’s emergency contact information, client’s lunch/food preferences, breakfast, lunch and dinner menu and schedules.


Continue on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 15-AS-20251119160637
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: CONCORD HOUSE
FACILITY NUMBER: 071440106
VISIT DATE: 02/24/2026
NARRATIVE
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continued from LIC9099


Allegation: Staff do not provide resident with adequate amounts of food.
Based on interviews and record review, it was determined that clients are permitted to request additional food after consuming the portions initially provided by staff. Interviews further revealed that clients did not express any concerns regarding the portion sizes of the food provided. Record review indicated that the facility’s menus include an adequate amount of food for each meal and dessert.



Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.


Exit interview conducted and a copy of report was given.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 15-AS-20251119160637
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: CONCORD HOUSE
FACILITY NUMBER: 071440106
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2026
Section Cited
CCR
80072(a)(3)
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a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions....
This requirement was not met as evidence by:
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By POC date, Licensee agreed to get all staff memebers personal rights training by an authorized vendor and submit documentation to CCLD with staff participants signatures.
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Based on interviews, Licensee did not allow clients to request alternative meals or are dissuaded by staff members from making said requests, which poses a personal rights risk to the person in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5