374604734-6-12-2026-08-AS-APAO-DVE29A-20260625171138

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604734
Report Date: 06/12/2026
Date Signed: 06/12/2026 10:02:07 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2024 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 08-AS-20240528085208

FACILITY NAME:	CHANGING OPTIONS		FACILITY NUMBER:	374604734
ADMINISTRATOR:	MELCHER, JENNIFER		FACILITY TYPE:	735
ADDRESS:	500 3RD STREET		TELEPHONE:	(714) 224-0826
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY:	0	CENSUS: 0	DATE:	06/12/2026
		UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	N/A		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Licensee did not maintain accurate client records

INVESTIGATION FINDINGS:

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On 06/05/24. Licensing Program Analyst (LPA) J Barfield conducted an unannounced subsequent complaint visit. LPA met with administrator (ADM) Jennifer Melcher and disclosed the purpose of the visit.

During investigation, LPA N Patterson conducted interviews with reporting party (RP), clients (C1, C2, C3, C4, C5) and staff (PD, PM, S2, S3) and reviewed clients’ documents. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA N Patterson’s direct observations. On 06/08/26, LPA D Panlilio attempted to contact RP and former staff (PD, PM, S2, S3) with the phone numbers provided and found that the phones services were no longer valid and no messages could be left. Review of facility records confirmed that Changing Options closed on 09/19/25.

Continued on next page, LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

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 08-AS-20240528085208

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CHANGING OPTIONS	FACILITY NUMBER: 374604734
	VISIT DATE: 06/12/2026

NARRATIVE

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Allegation: Licensee did not maintain accurate client records
Finding: Unsubstantiated
During investigation, LPA D Panlilio reviewed the facility’s complaint history and observed LPA N Patterson conducted interviews with reporting party (RP), clients (C1, C2, C3, C4, C5), staff (PD, PM, S2), outside sources and reviewed clients’ documents regarding the allegation of medication errors at the facility on 08/13/24 (Complaint 08-AS-20240813161759). RP stated the licensee (LC) revoked/removed RP’s log in credentials/access to his work E-mail and the facility’s electronic medication administration record (E-MAR) and forced him to continue passing medications. LPA stated this information was refuted by multiple staff, outside sources, and records review. RP’s medication error write-up dated 03/28/24 showed admission of medication error by RP when he gave C3 his 6:30AM medication at 7PM that day and informed S2 of the error. This document showed the medication error occurred at the Farm location when RP administered the medication using the envelopes, which per staff interviews, was only done when clients had been taken back to the Farm. On 09/05/24, LPA N Patterson interviewed clients (C3, C4, and C5). C3 denied that errors had been made by staff with their medications. Clients (C1, C2, C3) stated they had not had any problems with their medications, and the medication administrations were correct. LPA N Patterson also reviewed documentation which showed RP violated HIPPA numerous times, removed the required secondary authenticator off his phone, and refused to comply with facility procedures, including charting resident rounds by hand during his refusals to comply with the authentication process. On 06/08/26, LPA D Panlilio attempted to contact RP and former staff (PD,PM, S2, S3) with the phone numbers provided and found that the phones services were no longer valid and no messages could be left. Review of facility records confirmed Changing Options facility closed on 09/19/25. Due to lack of obtainable information, the allegation could not be substantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred, therefore the allegation that licensee did not maintain accurate client records was found to be unsubstantiated.

No deficiencies 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: 06/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2026

LIC9099 (FAS) - (06/04)

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