385601084-2-4-2026-14-AS-BCHN-DR39RK-20260206223604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 385601084
Report Date: 02/04/2026
Date Signed: 02/04/2026 10:29:10 AM

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
10/23/2025 and conducted by Evaluator Yi Sam Jian

COMPLAINT CONTROL NUMBER: 14-AS-20251023091002

FACILITY NAME:	LYNNE & ROY M FRANK RESIDENCES		FACILITY NUMBER:	385601084
ADMINISTRATOR:	ROBERT SARISON		FACILITY TYPE:	740
ADDRESS:	ONE AVALON AVENUE		TELEPHONE:	(415) 562-2855
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY:	220	CENSUS: 162	DATE:	02/04/2026
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Robert Sarison		TIME COMPLETED:	10:44 AM

ALLEGATION(S):

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-Staff are not bathing residents in care
-Staff administered a medication that was not prescribed to a resident in care
-Staff did not prevent residents from eloping from the facility
-Staff left residents in soiled diapers for a long period of time
-Staff are not following residents dietary plans

INVESTIGATION FINDINGS:

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On 02/04/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unnannounced complaint visit. LPA met with Assistant Administrator, Gloria Vo, Administrator, Robert Sarison. LPA explained the purpose of the visit.

Regarding the allegation that staffs are not bathing residents in care, the Department conducted investigation. Interviews with residents from each floor of the facility did not reveal concerns regarding lack of bathing. Upon review facility records, LPA was unable to find corroborating evidence supporting the allegation.

Regarding the allegation that staff administered a medication that was not prescribed to a resident in care, the Department conducted investigation. Medication Administration Records (MARs) for residents in care were reviewed and did not identify evidence that residents were administered medications without a physician’s order. Residents interviewed did not report receiving incorrect medications. CONT TO 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

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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Control Number 14-AS-20251023091002

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LYNNE & ROY M FRANK RESIDENCES	FACILITY NUMBER: 385601084
	VISIT DATE: 02/04/2026

NARRATIVE

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Regarding the allegation that staff did not prevent residents from eloping from the facility, the Department conducted investigation. Interviews with residents did not indicate that residents left the facility without staff awareness or supervision. Facility records reviewed did not document any resident elopement incidents.

Regarding the allegation that staff left residents in soiled diapers for a long period of time, the Department conducted investigation. Interviews with residents did not support the allegation, and residents did not report being left in soiled diapers or clothing. No documentation or additional evidence was obtained to corroborate the allegation.

Regarding the allegation that staff are not following residents’ dietary plans, the Department conducted investigation. Document review and resident interviews did not identify evidence that residents’ dietary plans were not being followed. Residents interviewed did not report concerns regarding meals inconsistent with their dietary needs.

The complaint alleged that client C1 was administered medications that did belong to another individual. The LPA determined there was conflicting information indicating that C1 did not reside at the facility, and there was insufficient corroborating evidence to substantiate the allegation.

Although the above 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 allegations are unsubstantiated. An exit interview was conducted. This report is reviewed and a copy this report is provided to the administrator.

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

LIC9099 (FAS) - (06/04)

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