425802105-3-13-2026-29-AS-KBUY-DSK5BZ-20260326194933

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425802105
Report Date: 03/13/2026
Date Signed: 03/13/2026 03:39:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/12/2026 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20260112093657

FACILITY NAME:	PEOPLE'S CARE LAKE MARIE		FACILITY NUMBER:	425802105
ADMINISTRATOR:	REA BONNER HALLMON		FACILITY TYPE:	735
ADDRESS:	2186 LAKE MARIE DR		TELEPHONE:	(805) 934-0225
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	4	CENSUS: 4	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	01:29 PM
MET WITH:	DSP		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Staff do not safeguard resident's personal items.
Staff handled resident in a rough manner.
Staff does not treat resident in care with dignity or respect.
Staff mismanaged resident medication.
Staff do not ensure resident needs are met.
Staff do not provide resident's with daily activities.
Staff do not provide residents adequate food service,
Administrator is not present at the facility a sufficient amount of time to manage the facility.

INVESTIGATION FINDINGS:

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At 1:30pm on 03/13/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to deliver final findings to all of the allegations to this complaint. LPA met with DSP2 Davina Bernnal (S9) LPA made contact with Administrator, Rea Bonner Hallmon over the phone for authorization for S9 to sings for the complaint.

As to the allegation of, “Staff do not safeguard resident’s personal items.” It was alleged that S1 and S2 are complicate in mistreating clients and employees and in unethical practices, including theft and neglect It was discovered through interviews by Licensing Program Analyst Jeffries (LPA) and Tri Counties Regional Center, Quality Assurance, Wesly Marking (Q1) on 01/14/2026 C1, C2, C3, and C4, all stated they have not been the victim of any theft at the facility. C1-4 all stated that they feel safe residing at this facility.

CONTINUED on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

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 4

Control Number 29-AS-20260112093657

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PEOPLE'S CARE LAKE MARIE	FACILITY NUMBER: 425802105
	VISIT DATE: 03/13/2026

NARRATIVE

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AMENDED 03/19/2026 (formatting error, added sentence) On 01/14/2026, QA and LPA conducted in-person interviews with Staff 1 (S1), S2, S3, and S4. S1-4 all denied any theft of client or staff belongings, and all denied knowing of any theft at the facility. At this time there is not enough evidence to support the allegation of, “Staff do not safeguard the resident’s personal items.” and is unsubstantiated at this time.
As to the allegations of “Staff handled resident in a rough manner.” and “Staff does not treat resident in care with dignity or respect.” It was alleged that Staff 1 (S1) has verbally and physically abused clients. S1 has yelled at and pushed clients, particularly Client 3 (C3) and C2. S1 frequently argues with clients and intentionally harasses C1. It was also alleged that S2, demonstrates hostile and inappropriate behavior toward both clients and staff. It was discovered through interviews by Licensing Program Analyst Jeffries (LPA) and Tri Counties Regional Center, Quality Assurance, Wesly Marking (Q1) on 01/14/2026 C1, C2, C3, and C4 all conducted in-person interviews with QA and LPA. C1-4 all stated that no staff have abused them at this facility. C1-4 all stated that they feel that they have not been yelled at or harassed by Staff at this facility. C1-4 all stated that no staff, client or other person has inappropriately touched of put hands on them at this facility. C1-4 all stated that they feel safe and respected at this facility. On 01/14/2026, QA and LPA conducted in-person interviews with Staff 1 (S1), S2, S3, and S4. S1-4 all denied showing any disrespect to clients in care. S1-4 all stated that they have not acted inappropriately with clients in care. S1-4 all stated that they have not physically abused clients in care. All S1-4 stated that they have not seen other staff physically abuse, or act inappropriately with clients in care. On 01/14/2026, QA and LPA conducted an in-person interview with facility Administrator, Rea Hallmon who stated that all clients are treated with dignity and respect and all staff are fully trained and have had no recent negative interactions with clients in care. At this time there in not enough evidence to support the allegations of, “Staff handled resident in a rough manner.” and “Staff does not treat resident in care with dignity or respect.” and both are unsubstantiated at this time.
As to the allegation of, “Staff mismanaged resident medication.” It was alleged that there are frequent medication errors. Two photographs of a medication “bubble packs” that had medication popped out of sequence (#13) was provide with complaint submission. The unidentified medication and unidentified month of said medication packet was not evident in submitted photographs. On 01/14/2026, LPA Jeffries conducted a medication audit of the facility dating back to October 2025 through current medication documentation on 01/14/2026, LPA noted that Medication Administration Record did not show any missed medication

CONTINUED on LIC9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 29-AS-20260112093657

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PEOPLE'S CARE LAKE MARIE	FACILITY NUMBER: 425802105
	VISIT DATE: 03/13/2026

NARRATIVE

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QA and LPA conducted an interview with Administrator, Rea Hallmon, who stated that there have been no recent medication errors and no medication refusals to her knowledge. Administrator stated that a medication may be “popped” out of sequence but that does not mean the medication was not given as prescribe by the Physicians directions. On 01/14/2026, QA and LPA conducted interviews for 4 of 4 clients all who stated, they don’t recall missing any medication passes and have not refused any medications recently. On 01/14/2026 QA and LPA conducted interviews with S1-4, all stated that they did not recall any recent medication refusals or recent medication misses or errors. Based on medication documentation on physical medication audit, interviews and observations, there is not enough evidence at this time to support the allegation of, “Staff mismanaged resident medication.” and is unsubstantiated at this time.

As to the allegations of “Staff do not ensure resident needs are met.”, “Staff do not provide residents with daily activities.”; and “Staff do not provide residents adequate food service.” It was alleged that S1 and S2 do not perform their job duties, instead sitting on their phones or sleeping while clients are ignored. As a result, clients are left without adequate supervision or care, leading to frequent conflicts among clients. There is insufficient staffing, and clients rarely go on outings, contributing to increased stress and deterioration of their well-being. During Christmas and New Year’s, clients and staff were not provided with adequate or appropriate meals. It was discovered through observation, documentation and interviews that on 01/14/2026 QA and LPA conducted interviews with C1-4, 4 of 4 clients stated they had a good Christmas dinner and celebrated New Years at the facility. 4 of 4 clients stated that they go on outing every day and on the weekends. 4 of 4 clients stated that all their needs are met at this facility and they have no issues with the facility or staff. On 01/14/2026, QA and LPA conducted interviews of S1-4, all stated that there was a special dinner cooked on Christmas day and all clients had no issues. S1-4 all stated no issues with grocery or food quality for clients. S1-4 all stated that clients go out daily to stores, pet shop, fast food, and local casino. On 01/14/2026, QA and LPA conducted interview with facility Administrator who stated the facility had a special Christmas dinner that all clients enjoyed. Administrator stated that clients leave the facility every day for food or activities, and they also have activities at the facility when there are staff issues with driving or staff coverage due to clients wanting to do different activities.

CONTINUED on LIC9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20260112093657

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PEOPLE'S CARE LAKE MARIE	FACILITY NUMBER: 425802105
	VISIT DATE: 03/13/2026

NARRATIVE

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LPA noted that on 6 visits in the last 4 months at this facility clients were returning, preparing to leave, or out on outings. LPA noted that 4 focused physical audits of food quality and quantity were conducted by LPA over the last 12 months with no issues. At this time there is not enough evidence to support the allegations of, ““Staff do not ensure resident needs are met.”, “Staff do not provide residents with daily activities.”; and “Staff do not provide residents adequate food service.” and all are unsubstantiated at this time.

As to the allegation of, “Administrator is not present at the facility a sufficient amount of time to manage the facility.” It was alleged that, Administrator “is frequently absent from the facility and does not consistently fulfill her
administrative responsibilities, while still exercising control and retaliation against staff. It was discovered through interviews, documentation and prior facility evaluation reports that, on 01/14/2026, QA and LPA conducted interviews with C1-4, 4 of 4 clients all stated that Administrator is at the facility every day. On 01/14/2026, QA and LPA conducted interviews with S1-4, all stated that Administrator is always available or at the facility with no issues. On 01/14/2026, QA and LPA conducted an interview with facility Administrator Rea Hallmon, who stated that she is scheduled Monday through Friday and is at the facility on call most weekends and she puts more than 40 hours a week as Administrator at this facility. LPA noted that the Administrator scheduled hours are Monday through Friday 9am to 5pm and on-call all other hours. LPA noted that over the last three years of facility annual inspections there have been no issues with Administrator factors with this Administrator. At this time there in not enough evidence to support the allegation of, “Administrator is not present at the facility a sufficient amount of time to manage the facility.” and is unsubstantiated at this time.

Exit interview, report read, and report provided.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

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