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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 097004177
Report Date: 06/09/2025
Date Signed: 06/09/2025 11:31:27 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2025 and conducted by Evaluator Lavinia Muscan
COMPLAINT CONTROL NUMBER: 59-AS-20250317144735
FACILITY NAME:PONTE PALMEROFACILITY NUMBER:
097004177
ADMINISTRATOR:PILEGAARD, LANDONFACILITY TYPE:
740
ADDRESS:3083 PONTE MORINO DRIVETELEPHONE:
(530) 677-9100
CITY:CAMERON PARKSTATE: CAZIP CODE:
95682
CAPACITY:250CENSUS: 168DATE:
06/09/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Administrator Landon PilegaardTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff sexually abused residents while in care.
Facility does not have adequate staffing to meet residents' needs.
INVESTIGATION FINDINGS:
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On June 9, 2025, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Landon Pilegaard.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

**Report continued on 9099-C**
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Lavinia MuscanTELEPHONE: 916-263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
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 59-AS-20250317144735
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: PONTE PALMERO
FACILITY NUMBER: 097004177
VISIT DATE: 06/09/2025
NARRATIVE
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Staff sexually abused residents while in care.
During the course of the investigation, R1’s details of the incident was inconsistent. Based on R1’s medical records, R1 has diminished mental functions including dementia and schizoaffective disorder. The Sheriff’s Office conducted an investigation and were unable to substantiate the allegation based on lack of evidence and inconsistent statements made by R1. Additionally, the descriptions R1 provided of the suspect were inconsistent. Based on interviews conducted and records reviewed, there is insufficient evidence that staff sexually abused residents while in care.

Facility does not have adequate staffing to meet residents' needs.
Based on three (3) staff interviews, three (3) resident interviews, and record review, department was able to determine that there is adequate staffing to meet resident’s needs. Staff and residents were asked if there is adequate staffing. Nearly all persons said that there is adequate staffing and that all resident care needs are being met. Staff and residents could not provide a list of resident needs that were not provided or being met.

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

Exit interview conducted. Report left with facility.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Lavinia MuscanTELEPHONE: 916-263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC9099 (FAS) - (06/04)
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