079200952-12-30-2025-15-AS-BFOG-DQ3ULR-20260106144111

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200952
Report Date: 12/30/2025
Date Signed: 12/30/2025 02:36:32 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
09/23/2025 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20250923160410

FACILITY NAME:	LINDA'S RESIDENTIAL CARE III		FACILITY NUMBER:	079200952
ADMINISTRATOR:	PORTILLO, ERLINDA		FACILITY TYPE:	735
ADDRESS:	5145 TURNBULL CT		TELEPHONE:	(925) 565-5106
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	6	CENSUS: 6	DATE:	12/30/2025
		UNANNOUNCED	TIME BEGAN:	02:08 PM
MET WITH:	Erlinda Portillo, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not seek medical care for client in care
Staff did not provide medication assistance to clients in care
Staff did not provide hygiene care products to clients in care
Staff did not meet client’s diapering care needs resulting in an infection to the client
Staff did not follow client’s supervision care plan
Staff did not ensure sufficient foods were available at the facility for clients in care
Staff did not provide activities to clients in care

INVESTIGATION FINDINGS:

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On 12/29/25 2PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with administrator, gathered information and delivered investigation findings to ADM. LPA explained the purpose of the visit with ADM.

During investigation, the Department obtained the following documents from administrator – personnel record, clients’ roster, admission agreements, IPP/ISP plans, physician reports, needs & services plans, progress notes, incident reports, hospital discharge reports, doctor visits, medication administration records, food receipts.

Continued on next page, LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

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 5

Control Number 15-AS-20250923160410

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: LINDA'S RESIDENTIAL CARE III	FACILITY NUMBER: 079200952
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not seek medical care for clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA was unable to interview C1, C3, C4 because they were non-verbal. Staff stated they closely supervise C1, C3, C4 because they have eating disorders (PICA) and are non-verbal. C2 who is high functioning and verbal stated that staff always assisted each client timely with their medical needs. Review of clients’ medical records, after visit summary reports dated 082025 and 09/2025 showed staff monitored each client’s change in condition and called 911 for evaluation and treatment. Based on records review, interviews conducted, and observations made, Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not seek medical care for clients in care is unsubstantiated.

Allegation: Staff handled clients in a rough manner
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). Staff (S1) denied physically abusing or rough handling any client while in care. C2 who is high functioning and verbal stated she has not witnessed any staff handle any client in a rough manner. During unannounced visits on 08/08/25 and 08/28/25, LPA observed C1, C2, C3, C4 with no scratches or bruises on their face, arms, body or legs. LPA also reviewed clients’ medical records dated 08/2024 until 09/2025 which showed routine check-up results and medication updates for each client. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff handled clients in a rough manner is unsubstantiated.

Continued on next page, LIC9099-C pg2

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 15-AS-20250923160410

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: LINDA'S RESIDENTIAL CARE III	FACILITY NUMBER: 079200952
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not provide hygiene care products to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA was unable to interview C1, C3, C4 because they were non-verbal. LPA observed clients (C1, C2, C3, C4) clean, well groomed, odor free, nourished and hydrated. On 11/19/25 at 4PM, LPA toured the facility and observed each client had sufficient personal hygiene items (shampoo, body wash, soaps, shaving cream, diapers) available for use in the bathroom/storage areas. Staff stated they assisted clients (C1, C2, C3, C4) with their daily activities of daily living (ADLs- toileting, bathing, grooming, dressing, oral hygiene, meals, medications). Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide hygiene care products to clients in care is unsubstantiated.

Allegation: Staff did not ensure sufficient food was available at the facility for clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). Staff stated that they provide breakfast, lunch and dinner to all clients and prepare various meals according to clients' special diets that are low in cholesterol and sugar (mixed salad, vegetables, fresh fruits, yogurt, eggs, fish, pork, chicken, beef). LPA observed clients (C1, C2, C3, C4) clean, well groomed, odor free, nourished and hydrated. On 11/19/25 at 4PM, LPA toured the facility and observed sufficient 2-day perishable and 7- day non-perishable food supplies in the refrigerator/freezer as well as fresh fruits on the countertop and various cereals/snacks/drinks inside the pantry. On prior unannounced visits on 08/08/25 and 08/28/25, LPA observed an adequate supply of food in the refrigerator/freezer and pantry. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not ensure sufficient food was available at the facility for clients in care is unsubstantiated.

Continued on next page, LIC9099-C pg2

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 15-AS-20250923160410

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: LINDA'S RESIDENTIAL CARE III	FACILITY NUMBER: 079200952
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not provide activities to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). Staff (ADM, S1) and client (C2) stated that staff take clients to their adult day programs, community park events, bowling, shopping, favorite restaurants, stores and doctor's appointments. At 4:30PM on 11/19/25, ADM showed LPA various photos of clients attending celebration events at the ranch, restaurants, events and community parks during birthdays and holidays. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide activities to clients in care is unsubstantiated.

Allegation: Staff did not safeguard clients’ personal belongings
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). On 11/19/25 at 4:30PM, LPA observed clients’ freshly laundered clothes with names marked inside each garment label. ADM stated that putting a name label on each garment ensures that each client’s clothes are returned to the rightful owner after they are laundered. C2 who is high-functioning and verbal stated that staff always returns her clean clothes and do not mix them up with other clients’ garments. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did safeguard clients’ personal belongings is unsubstantiated.

Continued on next page, LIC 9099-C pg3

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 15-AS-20250923160410

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: LINDA'S RESIDENTIAL CARE III	FACILITY NUMBER: 079200952
	VISIT DATE: 12/30/2025

NARRATIVE

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Allegation: Staff did not provide medication assistance to clients in care
Investigation Finding: Unsubstantiated
During investigation, LPA interviewed staff (ADM, S1). LPA was unable to interview C1, C3, C4 because they were non-verbal. LPA was able to interview C2 who stated that staff assist her with her daily medications as prescribed by her primary care physician and also help her schedule her doctor visits as well as attend her chemotherapy sessions. Review of clients’ medication administration records and centrally stored medication logs dated 08/2025 and 09/2025 showed staff administered C1, C2, C3, C4’s medications as prescribed by their primary care physicians. LPA also reviewed clients’ medical records dated 08/2024 until 09/2025 which showed annual routine check-up results and medication updates for each client by their primary care physicians. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff did not provide medication assistance to clients in care is unsubstantiated.

No deficiency cited during visit. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2025

LIC9099 (FAS) - (06/04)

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