079200070-11-13-2025-15-AS-BFOG-DNKVLW-20251119153237

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200070
Report Date: 11/13/2025
Date Signed: 11/13/2025 03:16:00 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 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
08/01/2025 and conducted by Evaluator Lori Alexander-Washington

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20250801153405

FACILITY NAME:	BRIDGE PROGRAM - PLEASANT HILL		FACILITY NUMBER:	079200070
ADMINISTRATOR:	SHELDON, MICHELE		FACILITY TYPE:	735
ADDRESS:	550 PATTERSON BLVD.		TELEPHONE:	(925) 938-8050
CITY:	PLEASANT HILL	STATE: CA	ZIP CODE:	94523
CAPACITY:	64	CENSUS: 53	DATE:	11/13/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Michele Sheldon, Campus Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not following resident's care plan.
Staff threatened a resident in care.
Staff are interrupting the sleep of residents in care.

INVESTIGATION FINDINGS:

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On 11/13/2025 at 1:45 PM, Licensing Program Analyst (LPA) L. Alexander conducted a subsequent visit and met with Campus Administrator, Michele Sheldon, to deliver the findings of above allegations. LPA explained the purpose of the visit with the Administrator.

During the investigation, LPA interviewed Witnesses (W) and Staff (S) and obtained the following documents: Resident (R1) Physician’s Report, Admission Agreement, Pre-Placement Appraisal (06/07/2024), Appraisal Needs and Services (06/30/2025 and 08/30/2025), Care Plan (06/16/2025), and Medication Administration Records (MARs) for June–August 2025.

LIC9099-C Continued...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

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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Control Number 15-AS-20250801153405

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BRIDGE PROGRAM - PLEASANT HILL	FACILITY NUMBER: 079200070
	VISIT DATE: 11/13/2025

NARRATIVE

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LIC9099-C (Page 2)

Staff are not following resident's care plan.
Finding: Unsubstantiated

On 08/02/2025 LPA interviewed W1 who stated that staff were not following R1’s care plan.

LPA reviewed R1’s Physician’s Report, which indicated diagnoses of Major Depressive Disorder with psychotic symptoms and Post-Traumatic Stress Disorder (PTSD). The Appraisal/Needs and Services Plan (dated 08/30/2025) noted additional diagnoses of ADHD, Reactive Attachment Disorder, and dyslexia, and documented that R1’s conditions would be managed through weekly therapy sessions and regular Interdisciplinary Team (IDT) meetings.

R1’s Physical/Health and Activities of Daily Living (ADL) sections indicated that R1 was independent in these areas. The Care Plan for medication management documented that R1 self administers prescribed medications daily with staff prompts. Review of R1’s Medication Administration Record (MAR) confirmed that R1 was compliant with prescribed medication administration.

Staff threatened a resident in care.
Finding: Unsubstantiated

On 08/02/2025, LPA interviewed W1 who stated that R1 has PTSD and experiences anxiety when there are frequent staffing changes. W1 further stated that R1 became scared when police were called and they were placed in handcuffs after becoming loud.

LIC9099-C Continued...

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 15-AS-20250801153405

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BRIDGE PROGRAM - PLEASANT HILL	FACILITY NUMBER: 079200070
	VISIT DATE: 11/13/2025

NARRATIVE

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LIC9099-C (Page 3)

On 08/04/2025, LPA interviewed S1, who stated that R1 was yelling and using profanity toward the A3 Crisis Therapist, a Pleasant Hill Police Officer, and another witness (W2). The A3 Crisis Therapist contacted the Pleasant Hill Police Department. W2 confirmed that R1 was subsequently placed on a 5150 hold.

Staff are interrupting the sleep of residents in care.
Finding: Unsubstantiated

On 08/02/2025, LPA interviewed W1 that reported that Staff (S3) was loud and “sounded like a drill sergeant,” and that R1 typically sleeps until after 10:30 AM because they go to bed late.

On 08/04/2025, LPA interviewed S1 that stated they had gone to R1’s room on one occasion but were unaware of any disturbance caused by S3. S1 stated that they went to R1’s room to conduct a wellness check on R1, which is required within the program. S1 stated that when they entered the room, R1 yelled that they were not to be disturbed until after 9:30 AM. S1 explained that they were unaware of this preference at the time but apologized to R1 afterward. Staff (S3) were not available for interview.

LPA reviewed R1’s records, and there were no documents showing a preference for specific sleep hours.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED

No deficiencies were cited during today’s visit.

An exit interview was conducted with Administrator, Michele Sheldon and a copy of this report was provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025

LIC9099 (FAS) - (06/04)

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