<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200070
Report Date: 01/17/2025
Date Signed: 01/17/2025 03:42:30 PM

Document Has Been Signed on 01/17/2025 03:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 HILLFACILITY NUMBER:
079200070
ADMINISTRATOR/
DIRECTOR:		CARSWELL, JOHNFACILITY TYPE:
735
ADDRESS:550 PATTERSON BLVD.TELEPHONE:
(925) 938-8050
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 64CENSUS: 60DATE:
01/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:John Carswell, Campus AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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
On 01/17/2025, at 11:00 am, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit regarding an incident that was reported to Community Care Licensing Division (CCLD) on 01/06/2025. LPA met with Campus Administrator, John Carswell, and explained the reason for the visit.

The incident occurred on the evening of 01/04/2025 when staff observed that Client (C) C1 did not return for curfew. The Unusual Incident Report (LIC624) indicated that approximately at 11:00 pm, C1, was reported as a missing person with Pleasant Hill Police Department (PHPD).

LPA interviewed Staff (S) S1. S1 stated that C1 was seen by S2 at a nearby store and that S2 called the on-call supervisor to report. S1 stated that S2 called PHPD and a missing person's report was filed. S1 stated that C1 was found on 01/05/2025 and transported to Contra Costa Regional Medical Center for further evaluation. S1 stated that C1 was admitted to the hospital for treatment and was discharged back to the facility on 01/13/2025. S1 stated that they are planning an Interdisciplinary-Team (IDT) meeting to go over and address the care plan for C1. LPA reviewed C1's physician's report, dated 08/24/2023, that reveals C1 can leave the facility unassisted.

No deficiencies issued during visit.

Exit interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1