079200769-3-4-2026-15-AS-HHUL-DSHLCZ-20260325083909

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200769
Report Date: 03/04/2026
Date Signed: 03/04/2026 12:10:27 PM

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
02/27/2026 and conducted by Evaluator Grace Luk

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20260227111128

FACILITY NAME:	WEBSTER FAMILY CARE HOME III		FACILITY NUMBER:	079200769
ADMINISTRATOR:	WEBSTER, PIA		FACILITY TYPE:	735
ADDRESS:	351 JOAN VISTA STREET		TELEPHONE:	(510) 222-9212
CITY:	EL SOBRANTE	STATE: CA	ZIP CODE:	94803
CAPACITY:	4	CENSUS: 3	DATE:	03/04/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Pia Webster, Administrator		TIME COMPLETED:	12:25 PM

ALLEGATION(S):

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Staff did not return medications to client in a timely manner

INVESTIGATION FINDINGS:

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On 3/4/2026 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with staff, Melvin Lee and informed him the reason for visit. Administrator, Pia Webster arrived 30 minutes later.

During the course of investigation, LPA interviewed staff, client, witness, and complainant. LPA reviewed client's file and obtained medications returned document. Interview with staff and witness revealed that client (C1) did not obtain medications upon moving out of the facility. However, C1's representative was able to pick up the medications for C1 later on the same day. W1 stated that C1 did not miss dosage of medications on that day.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Pia Webster. A copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

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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