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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200064
Report Date: 01/07/2025
Date Signed: 01/07/2025 04:30:42 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
09/17/2024 and conducted by Evaluator Luisa Fontanilla
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20240917085416
FACILITY NAME:SAN MARTIN RESIDENTIAL CARE #1FACILITY NUMBER:
019200064
ADMINISTRATOR:CONRAD S SABADOFACILITY TYPE:
735
ADDRESS:2879 CHAMIER PLACETELEPHONE:
(510) 745-0668
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:6CENSUS: 6DATE:
01/07/2025
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Emma Sabado, LicenseeTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Facility staff yells at clients.
Facility staff does not let client possess personal items.
Facility staff pushes clients.
Facility staff does not treat client with dignity.
INVESTIGATION FINDINGS:
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On this day at around 4pm, LPAs L. Fontanilla and P. Manalo arrived unannounced to deliver finding for the above allegations and met with Licensee Emma Sabado. LPAs explained to Sabado the purpose of the visit.

On 9/18/2024, LPA Luisa Fontanilla conducted10-day investigation and interviewed staff.
On 9/19/2024, LPA conducted a collateral visit to the day program to interview Client 1 (C1).
C1 states S1 “does not push/yell at me but does not say I’m sorry or excuse me if S1 needed to pass through me. I am scared of how S1 looks at me. S1 should wait until everybody is finish with shower before cleaning the shower area.”
******continuation on Lic 9099c******
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
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-20240917085416
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: SAN MARTIN RESIDENTIAL CARE #1
FACILITY NUMBER: 019200064
VISIT DATE: 01/07/2025
NARRATIVE
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On 9/18/2024, LPA interviewed two staff who both denied all the allegations.

S1 states that the past 20 years of working at the facility, S1 never yelled or disrespected any client. S1 states that it is necessary to clean the shower area after each client to remove strands of hair on the floor to prevent it from clogging.

House Manager (HM) states that C1’s mother requested staff to keep C1’s phone and not to take it to the day program. C1's mother instructed C1 to surrender phone to staff before dinner and get from staff at 10am the following day and not to bring to the day program. When C1 gets home from day program, C1 gets phone from staff. HM states C1 took phone from Administrator at 9am. C1 surrendered phone to HM at before dinner. HM states C1 has been keeping phone and IPAD inside bedroom for 6 months from the date of interview. Only the box is left out in the living room.



Based on interviews conducted, the above allegations are unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2