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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201276
Report Date: 11/07/2025
Date Signed: 11/07/2025 10:25:59 AM

Substantiated


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
08/22/2025 and conducted by Evaluator Jill Clancy-Czuleger
COMPLAINT CONTROL NUMBER: 15-AS-20250822143430
FACILITY NAME:MCEWING HOMEFACILITY NUMBER:
079201276
ADMINISTRATOR:PITSCHNER, MARIANFACILITY TYPE:
735
ADDRESS:1200 MCEWING COURTTELEPHONE:
(925) 849-6086
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:6CENSUS: 5DATE:
11/07/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Marian Pitschner, Administrator TIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff withheld resident’s personal funds
INVESTIGATION FINDINGS:
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On 11/07/2025 at 10:10AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Marian Pitschner.

On the allegation: Staff withheld resident’s personal funds.
Based in interviews and records review, R1 had asked facility staff for $40 for a day program outing. In interviews with S1 they stated that R1 did not have the “slip” that the day programs normally provides. In interviews with day program staff W1 stated that they will provide a slip often to remind the clients or their homes about outings they do not always.

Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D.Exit interview conducted. Appeal Rights and a copy of this report provided
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2025
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-20250822143430
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: MCEWING HOME
FACILITY NUMBER: 079201276
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2025
Section Cited
CCR
85072(b)(7)
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The licensee shall insure that each client is accorded the following personal rights. To possess and control his/her own cash resources.
This requirement is not met as evidenced by:
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Licensee has agreed to have cash resources available to client. By the POC date the facility will provide the residents updated IPP documenting the resident is now incharge of their own money to CCLD.
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based on interviews with staff stating that R1 asked for $40 from their P&I and they only gave R1 $20, even though they had more than enough money to have $40 which poses a potential health and safety risk to persons in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2