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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385601149
Report Date: 12/23/2025
Date Signed: 12/23/2025 02:38:25 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
12/16/2025 and conducted by Evaluator John Calandra
COMPLAINT CONTROL NUMBER: 14-AS-20251216164228
FACILITY NAME:GENTLE HANDS SENIORSFACILITY NUMBER:
385601149
ADMINISTRATOR:BANGURA, FATMATAFACILITY TYPE:
740
ADDRESS:2447 19TH AVENUETELEPHONE:
(415) 564-6695
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:6CENSUS: 6DATE:
12/23/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Fatmata Bangura TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee does not ensure that facility is adequately heated for residents' comfort
Licensee does not ensure that faucets used by residents for personal care deliver hot water
INVESTIGATION FINDINGS:
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On 12/23/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to open this complaint. LPA Calandra was greeted by Anica Koljenik, House Manager/Lead Caregiver and explained the purpose of the visit. Fatmata Bangura, Administrator/Licensee arrived at the facility later during the visit.

Complaint alleged that licensee did not ensure that facility is adequately heated for residents' comfort. According to the reporting party, the facility had gone without hot water and heat for a week. Based on observation and interviews, the facility was maintained at a temperature of 74 degrees Fahrenheit and residents in care were comfortable.

In addition, the complaint alleged that licensee does not ensure that faucets used by residents for personal care deliver hot water. Complainant alleged that the facility had lost hot water and heat for a week.Based on observation and interview, the facility did lose hot water but never heat. According to the Licensee, the facility used warm water to bathe residents while searching for a part for their hot water tank. As one could not be found, the Licensee purchased a new hot water tank.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
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 14-AS-20251216164228
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: GENTLE HANDS SENIORS
FACILITY NUMBER: 385601149
VISIT DATE: 12/23/2025
NARRATIVE
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Based on observation and interview, faucets used by residents for personal care delivered hot water.

Although the above 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.

No deficiencies were cited during today's visit.

An exit interview was conducted. This report was reviewed with facility representative and a copy provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2