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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200807
Report Date: 10/15/2025
Date Signed: 10/15/2025 01:30:33 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
10/06/2025 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20251006121738
FACILITY NAME:CONTINUANCE CARE HOME LLCFACILITY NUMBER:
019200807
ADMINISTRATOR:MARSHALL, SHIRLEYFACILITY TYPE:
740
ADDRESS:565 SCHAFER RDTELEPHONE:
(510) 398-8994
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:16CENSUS: 15DATE:
10/15/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Shirley Marshall, Administrator TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff prevented resident from receiving visitors.
Staff prevented resident from attending a scheduled dental appointment.
Staff did not provide facility contact information to resident’s representative when requested.
INVESTIGATION FINDINGS:
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On 10/15/2025 at 8:30 AM, Licensing Program Analysts (LPAs) K. Nguyen and L. Alexander arrived unannounced to conduct a complaint and deliver a complaint finding. LPAs explained the purpose of the visit with Administrator Shirley Marshall.

During the complaint investigation. LPAs interviewed staff and residents, reviewed the following documents: R1's care notes, the physician's report, and the contact log.

Allegation: Staff prevented the residents from receiving visitors - Unsubstantiated
It was alleged that staff prevented the residents from receiving visitors. Based on interviews from residents (R1, R2, R3, R4, R5, and R6), all stated that the facility staff do not prevent them from receiving any visitors. Based on the staff interview, four out of four staff members state that they welcome all visitors who come and visit the residents at the facility.

Report continued on LIC 9099c...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
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-20251006121738
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: CONTINUANCE CARE HOME LLC
FACILITY NUMBER: 019200807
VISIT DATE: 10/15/2025
NARRATIVE
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Allegation: Staff prevented residents from attending a scheduled dental appointment- Unsubstantiated

It was alleged that staff prevented residents from attending a scheduled dental appointment. Based on interviews and record review, R1 stated that R1 didn’t want to go to the dentist’s appointment because R1 didn’t know that R1 had a dental appointment. The record showed that POA did not notify of the R1 dental appointment. S4 stated S4 confirmed with POA that there was no notification of R1 dental appointment.

Allegation: Staff did not provide facility contact information to the resident’s representative when requested- Unsubstantiated

It was alleged that staff did not provide facility contact information to the resident’s representative when requested. Based on the record review and interview staff provided the facility contact information to the resident’s representative via the contact log.

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.

Exit interview conducted, and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2