071440106-1-27-2026-15-AS-BFOG-DQT37U-20260129170031

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 071440106
Report Date: 01/27/2026
Date Signed: 01/27/2026 11:33:24 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/03/2025 and conducted by Evaluator Carol Fowler

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20250603085522

FACILITY NAME:	CONCORD HOUSE		FACILITY NUMBER:	071440106
ADMINISTRATOR:	LEYBA, MARY ANN		FACILITY TYPE:	735
ADDRESS:	2301 MT. DIABLO ST.		TELEPHONE:	(925) 825-4423
CITY:	CONCORD	STATE: CA	ZIP CODE:	94520
CAPACITY:	16	CENSUS: 12	DATE:	01/27/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	MARY ANN LEYBA, ADMINISTRATOR		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff spoke inappropriately towards clients
Facility staff are removing personal items without permission from clients
Facility staff touched a client inappropriately
Facility staff does not treat client with dignity and respect

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 01/27/2026 at 11:00am, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegations above. LPA met with Mary Ann Leyba, Administrator and explained the reason for the visit.

During the course of the investigation, the Department conducted interviews with Witness 1 (W1), Staff 1 (S1) , Staff 2 (S2), Staff 3 (S3). LPA reviewed and received a copy of Client roster, personnel report (LIC500), physician's report, emergency contact information, Individual Program Plan (IPP) for C1.
CONTINUE ON LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2026

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 3

Control Number 15-AS-20250603085522

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: CONCORD HOUSE	FACILITY NUMBER: 071440106
	VISIT DATE: 01/27/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

CONTINUE FROM LIC 9099

Allegation: Facility staff spoke inappropriately towards client
Investigation Finding: unsubstantiated.

During the investigation the LPA interviewed W1, S1, S2 and S3 during interviews with W1 it was revealed that W 1 received a report alleging that S1 had spoken inappropriately to C1 while see one was residing at the facility. S1 reported that S1 has never spoken inappropriately to C1 or any other clients. S1 further stated that this was an old complaint that had previously been investigated by the clients right advocate for RCEB and was determined to be unsubstantiated. S1 further stated that S1 saw C1 walking down the street and S1 stopped to say hi to C1 and S1 ended up conducting a tour at S1s new day program. S2 reported that S2 never spoke inappropriately to C1 and has never witnessed any staff speaking to C1 in an inappropriate manner during S2 interview, the LPA overheard S1 instructing S2 on how to respond to interview questions as a result the interview with S2 was ended immediately and S2 was determined not to be a credible witness. S3 reported that S3 has not witnessed any staff speaking inappropriately to C1 and stated that S3 was never spoken inappropriately to C1. Therefore, this allegation is UNSUBSTANTIATED.

Allegation: Facility staff are removing personal items without permission from clients

Investigation Finding: unsubstantiated.

During the investigation the LPA interviewed W1, S1, S2, and S3. During the interviews with W one it was revealed that W 1 was informed that S1 had removed C1's cell phone. S1 stated that S1 never removed or took possession of C1 cell phone. S2 was determined not to be a credible witness as the LPA overheard S1 in the background instructing S2 on how to answer interview questions period S3 stated that C1 had a cell phone and that it remained in C1's possessions at all times. Therefore, this allegation is UNSUBSTANTIATED.

CONTINUE ON LIC 9099C2

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 15-AS-20250603085522

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: CONCORD HOUSE	FACILITY NUMBER: 071440106
	VISIT DATE: 01/27/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

CONTINUE FROM LIC 9099C

Allegation: Facility staff touched a client inappropriately
Investigation Finding: unsubstantiated.

During the investigation the LPA interviewed W1S1, S2, and S3. During the interviews with W1 it was reported that S1 allegedly squeezed C1s hand. During the interview with S1, S1 denied ever squeezing C1's hand. S2 was determined not to be a credible witness, as the LPA overheard S1 in the background instructing S2 on how to answer the interview questions. Therefore, this allegation is UNSUBSTANTIATED.

Allegation: Facility staff does not treat client with dignity and respect

Investigation Finding: unsubstantiated.

Do the investigation, the licensing program analyst LPA to view W 1, S1, S2, and S3. During the interview with W one it was reported that WW1 was informed that S1 did not treat C1 with dignity and respect and allegedly made inappropriate statements to see one during phone conversations that was made to C1 without permission. As 2 was determined not to be a credible witness as the LPA overheard S1 in the background and instructing S2 on how to respond to interview questions period S3 stated that S3 has no knowledge of S1 treating C1 without dignity and respect or about a phone call that was made to C1. Therefore, this allegation is UNSUBSTANTIATED.

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

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3