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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201405
Report Date: 03/18/2026
Date Signed: 03/18/2026 04:39:31 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, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2025 and conducted by Evaluator Daisy Panlilio
COMPLAINT CONTROL NUMBER: 15-AS-20250512090437
FACILITY NAME:EASTBAY VILLASFACILITY NUMBER:
079201405
ADMINISTRATOR:SURIAO, MARINAFACILITY TYPE:
740
ADDRESS:5302 CHEROKEE WAYTELEPHONE:
(925) 689-6551
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:6CENSUS: 4DATE:
03/18/2026
UNANNOUNCEDTIME BEGAN:
03:58 PM
MET WITH:Marina Suriao, AdministratorTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff Person engaged in conduct inimical
INVESTIGATION FINDINGS:
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On 03/18/26 at 3:58PM, Licensing Program Analyst (LPA) D Panlilio conducted a subsequent visit and met with administrator (ADM) to deliver the findings of above allegation. LPA explained the purpose of the visit with ADM.

During investigation, the Department obtained the following documents from administrator – Personnel record (LIC500), Administrator Certification, Employee job application. Health & safety check conducted see LIC 809 dated 05/14/25.

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: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
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 15-AS-20250512090437
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: EASTBAY VILLAS
FACILITY NUMBER: 079201405
VISIT DATE: 03/18/2026
NARRATIVE
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Allegation: Staff person engaged in conduct inimical
Investigation Finding: Unsubstantiated
During investigation, the Department conducted interviews of residents (R1, R2, R3, R4, R5, R6), responsible parties (W1, W2, W3, w4, W5, W6), facility staff (ADM, S1, S2, S3, S4, S5), Regional Center of the East Bay Case Managers (CM1, CM2) and reviewed facility documents.

On 07/28/25, residents’ families and Regional Center of the East Bay (RCEB) case managers reported during their interviews that the residents’ families make financial decisions on the resident’s behalf. However, all residents’ monthly Personal and Incidental (P&I) funds go directly to Eastbay Villas facility. Administrator (ADM) and Direct Support Professional (DSP1) manage their funds. DSP staff were interviewed and said they do not have access or manage resident’s money. ADM cashes resident’s checks and gives DSP1 the cash monthly to record in the P&I binder. All funds are tracked with receipts and bank statements and are kept locked and inaccessible from residents and staff. Staff were unaware of any staff, including ADM, of stealing residents’ money. ADM denied stealing current resident’s money and denied any involvement in stealing her former resident’s money.

On 05/14/25, ADM showed email communications between herself, her attorney and Plaintiff attorneys with Trustee which showed that in exchange for her testimony of her knowledge of certain conduct and actions by another defendant, there would be a Stipulation for the dismissal of the litigation against her in the matter. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff person engaged in conduct inimical is unsubstantiated.

No deficiency 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: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
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