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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385600235
Report Date: 11/10/2025
Date Signed: 11/10/2025 01:30:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2025 and conducted by Evaluator Jaime Vado
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20251021111703
FACILITY NAME:KOKORO ASSISTED LIVINGFACILITY NUMBER:
385600235
ADMINISTRATOR:CHANTELLE HUDSONFACILITY TYPE:
740
ADDRESS:1881 BUSH STTELEPHONE:
(415) 776-8066
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:61CENSUS: 42DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Resident Services Director - Sakae HamiltonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff did not safegurd residents personal belongings
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/10/2025, Licensing Program Analyst (LPA) conducted an uannaounced complaint investigation visit do deliver findings in regards to the allegation received. LPA met with resident services director Sakae Hamilton and explained the purupose of today's visit.

During the investigation LPA conducted interviews and reviewed pertinent documents related to the complaint. Its discovered that the resident gave the faciilty their belongings to the facility after they passed away. LPA reviewed the documentation regarding this, and confirms that this was put in place by the resident prior to passing away. The responsible party is aware of the will and picked up any belongings the responsible party wanted. The rest of the resident's belongings were put for sale among staff with the proceeds going back into the facility to support staff related functions. Per interviews conducted, LPA was not able to determine if any items were taken illegitatmately as they were given away and the responsible party obtained only certain items they wanted. Nothing was overtly noticed as missing or stolen. This allegation is unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with Sakae and a copy is proveder
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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