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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200803
Report Date: 02/13/2025
Date Signed: 02/13/2025 05:15:20 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
11/05/2024 and conducted by Evaluator Laura Hall
COMPLAINT CONTROL NUMBER: 15-AS-20241105115558
FACILITY NAME:ST FRANCIS HOME IFACILITY NUMBER:
079200803
ADMINISTRATOR:JO, CHRISTOPHERFACILITY TYPE:
735
ADDRESS:1107 METTEN AVETELEPHONE:
(925) 594-2003
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:6CENSUS: 5DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Christopher Jo, AdministratorTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Staff financially abused resident
INVESTIGATION FINDINGS:
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On 2/13/2025 at 5:00pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver complaint findings for the allegation above. LPA met with Christopher Jo, Administrator and explained the reason for the visit.

During the course of the investigation the Department conducted interviews with staff, witnesses, client, obtained and reviewed records.

Allegation: Staff financially abused resident.

Based on initial interview with W1 it was reported C1 tried to open a bank account and there was a fraudulent check and two (2) overdrafts attached to C1’s social security

Continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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 2
Control Number 15-AS-20241105115558
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: ST FRANCIS HOME I
FACILITY NUMBER: 079200803
VISIT DATE: 02/13/2025
NARRATIVE
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Continued from LIC9099.

number. W1 also stated C1 stated she lost her card at the facility. During interview with C1 she stated she lost her card at the facility but couldn’t provide a time frame. C1 was not able to give name of financial institution that was used. W2 was with C1 during interview and was not able to give fraud or account number to confirm allegation but was able to give name of financial institution. W3 stated during interview that C1 handled her own money until C1’s individual program plan (IPP) in 2019 stated C1 needed assistance with her money. S1 stated C1 did not have a card. S1 recalled C1 had a bank account in 2017 or 2018. LPA reviewed record of client’s/resident’s safeguarded cash resource from June 2019 until present. LPA observed cash resource documents were accurate during those annual inspections. LPA was not able to verify information with the financial institution due to not having pertinent information. C1 no longer resides at the facility.

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

Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
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