097004177-9-10-2026-59-AS-LMUZ-DXU2W8-20260911174507

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 097004177
Report Date: 09/10/2026
Date Signed: 09/10/2026 10:07:55 AM

Unfounded

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
08/05/2026 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20260805121219

FACILITY NAME:	PONTE PALMERO		FACILITY NUMBER:	097004177
ADMINISTRATOR:	PILEGAARD, LANDON		FACILITY TYPE:	740
ADDRESS:	3083 PONTE MORINO DRIVE		TELEPHONE:	(530) 677-9100
CITY:	CAMERON PARK	STATE: CA	ZIP CODE:	95682
CAPACITY:	250	CENSUS: 181	DATE:	09/10/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Landon Pilegaard		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not prevent a resident from harrassing another resident.
Staff restrained a resident.
Staff accessed resident's apartment without permission.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/10/2026, Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains 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**

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

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 59-AS-20260805121219

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: 09/10/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Staff did not prevent a resident from harassing another resident.
Based on interviews, record review, and observation, R3 expressed concerns regarding another resident eating in the facility’s designated dining area. Title 22 provides residents with the right to utilize the facility’s designated dining area. The other residents’ presence and use of the dining area did not constitute harassment. Residents cannot dictate where other residents exercise the right to dine within the facility or characterize the exercise of that right as harassment. Staff were not identified as failing to intervene in any conduct that constituted harassment. Therefore, this allegation is UNFOUNDED.

Staff restrained a resident.

Based on interviews, record reviews, and observation, there was no evidence that staff physically restrained R3, restricted R3’s freedom of movement, or prevented R3 from leaving against R3’s will. R3 stated that R3 was able to disengage from the encounter and leave when R3 chose to do so. Therefore, this allegation is UNFOUNDED.

Staff accessed resident's apartment without permission.
Based on interviews, record review, and observation, R3 stated that staff do not enter R3’s apartment except on scheduled cleaning days. R3 identified Wednesdays as the scheduled cleaning day and stated that staff enter the apartment with R3’s permission to provide cleaning services. There was no evidence that staff entered R3’s apartment outside of scheduled cleaning services or without R3’s permission. Therefore, this allegation is UNFOUNDED.

Exit interview conducted. Report left with facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2