079201122-5-7-2026-15-AS-LFRO-DVVJ7X-20260711064840

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201122
Report Date: 05/07/2026
Date Signed: 05/07/2026 04:41:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
01/09/2026 and conducted by Evaluator Tonica Syess-Gibson

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20260109124420

FACILITY NAME:	LEE FAMILY CARE HOME #2		FACILITY NUMBER:	079201122
ADMINISTRATOR:	TUCKER, WILLIAM		FACILITY TYPE:	735
ADDRESS:	660 TIMBERLINE TERRACE		TELEPHONE:	(925) 354-2254
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	6	CENSUS: 6	DATE:	05/07/2026
		UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Maureen Lee, Licensee/William Tucker, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff imposed unauthorized restrictions on a resident.
Staff did not communicate facility rules directly to the resident

INVESTIGATION FINDINGS:

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On 05/07/2026 at 2:55PM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to deliver complaint findings in regard to the allegations above. LPA met with Licensee, Maureen Lee and Administrator William Tucker and explained the reason for visit.

During investigation, LPA interviewed 2 clients and 2 staff. LPA reviewed and obtained the following documents: client’s roster, staff schedule, contact information, client (C1) admission agreement, physician report, individual program plan (IPP), personal rights, facility’s house rules and C1’s court order diversion plan.

Continue on LIC9099C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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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Control Number 15-AS-20260109124420

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: LEE FAMILY CARE HOME #2	FACILITY NUMBER: 079201122
	VISIT DATE: 05/07/2026

NARRATIVE

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Continued from LIC9099

Staff imposed unauthorized restrictions on a resident.

Interview with W1 revealed, W1 wants to leave the facility and staff will not allow W1 to leave unattended. Interview with W1 also revealed staff hides keys to prevent him from getting access to laundry detergent, cleaning solutions and W1's medications. Interviews with S1 and S2 revealed. W1 gets upset when staff doesn't give him the keys to the laundry detergent and administers W1 medication . S1 also stated W1 was admitted to facility on a court diversion and did not like the rules. Interview with S1 also revealed, W1 is not allowed to leave the facility unattended. Record review revealed W1’s IPP states W1 requires 24hrs supervision.

Staff did not communicate facility rules directly to the resident

Interview with W1 revealed facility did tell W1 about the house rules when W1 moved in. W1 did not understand the rules and did not ask staff to explain the house rules. Interview with W1 also revealed, W1 feels that the house rules shouldn’t apply to W1 because of W1’s functioning capabilities. Interviews with S1 and S2 revealed W1 wanted to have access to laundry detergent and administer his own medication. Record review W1 was not able to administer own medication. Record review revealed facility house rules were provided to client on 11/24/2024.

Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of report was given.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Tonica Syess-Gibson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

LIC9099 (FAS) - (06/04)

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