415600105-2-22-2024-14-AS-AMEN-D59SR2-20240514140537

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600105
Report Date: 02/22/2024
Date Signed: 02/22/2024 01:37:27 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 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
02/12/2024 and conducted by Evaluator Audrey Jeung

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20240212083412

FACILITY NAME:	CHATEAU SABELLE		FACILITY NUMBER:	415600105
ADMINISTRATOR:	MORALES, GABRIELA		FACILITY TYPE:	740
ADDRESS:	2921 ISABELLE STREET		TELEPHONE:	(650) 341-2296
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	6	CENSUS: 6	DATE:	02/22/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Armand Atienza and Nancy Castle		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee allows staff to work at facility without fingerprint clearance

INVESTIGATION FINDINGS:

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LPA Jeung toured facility, including upstairs staff room and garage. There are 6 private client bedrooms--all with private half bathrooms and exits. In the staff quarters, there are heavy curtains that serve as partitions, creating privacy for 2 male staff; there is a bed in each space. There are several steps that lead to another room, which is also partitioned for 2 female staff; there is a bed in each space. In addition, there is a bathroom. Two car garage is observed to be used for storage.
LPA interviewed staff on premises, including licensee/administrator, and reviewed staff files.

Allegation that there are persons without criminal record clearance has been investigated by the Community Care Licensing Division of the CA Department of Social Services, and determined to be unfounded. This means that the allegation could not have happened and/or is without a reasonable basis.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Audrey Jeung
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

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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