<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019201169
Report Date: 04/03/2026
Date Signed: 04/03/2026 02:21:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
03/09/2026 and conducted by Evaluator Ardalan Gharachorloo
COMPLAINT CONTROL NUMBER: 15-AS-20260309100403
FACILITY NAME:REDWOOD CARE HOMEFACILITY NUMBER:
019201169
ADMINISTRATOR:LU, YANFACILITY TYPE:
735
ADDRESS:20112 REDWOOD RDTELEPHONE:
(510) 703-8063
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:7CENSUS: 4DATE:
04/03/2026
UNANNOUNCEDTIME BEGAN:
12:17 PM
MET WITH:Yan Lu, AdministratorTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident sustained (an injury – ex. Broken arm, multiple bruises, etc.) due to staff neglect or physical abuse
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/03/2026 at 12:17 PM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to continue investigation and deliver findings in regard to the allegation above. LPA met with Administrator, Yan Lu and and explained the purpose of the visit.

During the course of the investigation, LPA interviewed C1, S1 and S2 as well as W1, and reviewed C1 file records including but not limited physician report, MARs, care plan, medical and behavioral documents. LPA also reviewed a letter from C1’s behavior analyst, which denies the allegation based on C1s medical history.
The document further notes that C1 has previously reported incidents involving her teeth and that her partial dentures had been broken prior to her placement at the facility .

Additionally, S1 provided documentation of prior dental appointments and dental work reports showing ongoing efforts to address C1’s dental issues.

***CONTINUE ON 9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
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-20260309100403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: REDWOOD CARE HOME
FACILITY NUMBER: 019201169
VISIT DATE: 04/03/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
***CONTINUE FROM 9099***


LPA conducted interview with C1 who stated that she feels "very happy" at the facility and reported no concerns with staff or any abuse. She further stated that the staff are doing their best to address her needs. LPA also interviewed S1 and S2 who stated that they treat all clients with respect and denied any knowledge of the alleged incident.

This agency has investigated the allegation above. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2