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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801788
Report Date: 05/27/2026
Date Signed: 05/27/2026 02:02:36 PM

Substantiated


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
05/26/2026 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20260526105011
FACILITY NAME:A BRADLEY HOUSE IIFACILITY NUMBER:
565801788
ADMINISTRATOR:CHARISSE BRADLEYFACILITY TYPE:
740
ADDRESS:805 ERRINGER ROADTELEPHONE:
(805) 404-6516
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:6CENSUS: 2DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rhandy Abad TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not provide a refund upon resident’s death
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. Upon arrival LPA met with staff and explained the reason for the visit. The Licensee Charisse Bradley was contacted and the reason for the visit was explained.

At approx 10:00 a.m. LPA conducted physical plant, interviewed staff, family / responsible parties and reviewed and obtained copies of pertinent documentation relevant to the investigation.

It was reported that "Staff did not provide a refund upon resident’s death" as it was alleged that the Resident #1 (R1)'s family/responsible party was denied a prorated refund by the licensee following R1's death and the removal of R1's belongings on 05/11/2026. LPA's records review reflected that R1 was admitted to the facility on 01/27/2026 and passed away on 05/10/2026. The family/responsible party removed all of R1's belongings from the facility on 05/11/2026.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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 3
Control Number 29-AS-20260526105011
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: A BRADLEY HOUSE II
FACILITY NUMBER: 565801788
VISIT DATE: 05/27/2026
NARRATIVE
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Continued from 9099

The Admission Agreement, signed by the family/responsible party on 01/27/2026, included the facility’s Refund/Proration Policy, which stated "All charges will be refunded on a prorated basis upon notice that the Resident's medical condition will not allow a return to the facility. If the resident's leaves the facility for other than a medical condition, a thirty (30) day notice to the facility is required. If the required notice is not provided, the full month's rate is due. If a resident wish to hold a room for any reason (medical or Non-Medical) the rate will not change. To hold a room for any portion of the month's rent must be paid" .

LPA's interviews and record review further revealed  all of R1's belongings were removed from the facility on 05/11/2026, therefore, the family/responsible party was entitled to a prorated refund for the remaining portion of the month in accordance with the facility’s policy. LPA's interview with the licensee revealed  they previously informed the family/responsible party of R1 to refer to the facility’s refund policy, as they believed at that time the family was not entitled to a refund. During discussion with the LPA regarding the facility’s refund policy, the LPA explained their understanding that the policy allowed for a prorated refund when a resident was unable to return to the facility due to a medical reason and the resident’s belongings had been removed from the facility. The licensee acknowledge the LPA's understanding and stated they would discuss the matter further with the family/responsible party. Based on information gathered during this visit, the department has sufficient evidence to determine this allegation occurred. Therefore, the allegation that "Staff did not provide a refund upon resident's death " has been deemed Substantiated at this time.

The following deficiencies were observed (See LIC 9099-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.
 
Exit interview conducted. A copy of the report and appeal rights were provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260526105011
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: A BRADLEY HOUSE II
FACILITY NUMBER: 565801788
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/12/2026
Section Cited
CCR
87507(5)(A)
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Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652. This requirement is not met as evidenced by:
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Licensee agreed to provide full refund owed to family and review section cited, review admission agreement then submit a statement of understanding and a written plan to ensure future compliance and submit to CCLD via email by COB 06/12/2026.
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Based on interviews and record review, the licensee did not comply with the section cited above as R1's family / responsible party was not provided a prorated refund upon death of R1 per the facilities admission agreement, which posed a potential health, safety or personal rights 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: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3