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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415600689
Report Date: 06/21/2021
Date Signed: 06/22/2021 09:57:52 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/11/2021 and conducted by Evaluator Audrey Jeung
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20210611155137
FACILITY NAME:STRATFORD, THEFACILITY NUMBER:
415600689
ADMINISTRATOR:CAMILLE CHRISTIEFACILITY TYPE:
741
ADDRESS:601 LAUREL AVETELEPHONE:
(650) 342-4106
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:96CENSUS: 79DATE:
06/21/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria NitescuTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
- Facility management company is misappropriating resident funds
INVESTIGATION FINDINGS:
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2
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13
This is a Continuing Care Retirement Community licensed by the CA Dept. of Social Services.
Upon reviewing the available information provided for this complaint, the Department has found that the concern expressed by the complainant involves several associated facilities and their contracts. Therefore, the allegation that resident funds are being misappropriated does not fall under the jurisdiction of the Community Care Licensing Division, but rather the Continuing Care Contracts Bureau.

Therefore, this complaint is closed as unfounded. The allegation and information have been referred to the Continuing Care Contracts Bureau for review.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Audrey Jeung
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021
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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