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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415600874
Report Date: 03/13/2025
Date Signed: 03/13/2025 09:16:03 AM

Unfounded


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
11/25/2024 and conducted by Evaluator John Calandra
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20241125122455
FACILITY NAME:BROOKDALE REDWOOD CITYFACILITY NUMBER:
415600874
ADMINISTRATOR:MONICA CERON TAPIAFACILITY TYPE:
740
ADDRESS:485 WOODSIDE RDTELEPHONE:
(650) 366-3900
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:130CENSUS: 62DATE:
03/13/2025
UNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Monica Ceron-Tapia, Executive Director TIME COMPLETED:
09:15 AM
ALLEGATION(S):
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9
Staff did not prevent facility from having pest.
Facility is malodorous.
INVESTIGATION FINDINGS:
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On 3/13/2025, Licensing Program Analyst (LPA) John Calandra met with Monica Ceron-Tapia, Executive Director for this conclusionary complaint inspection. On 11/27/2024, LPA conducted initial complaint inspection. Information gathered indicated the allegations may have occurred in an area not licensed by our agency.

LPA Calandra later gathered more information regarding the above allegations regarding physical plant concerns in the facility. The resident (R1) in this complaint no longer resides at the facility. LPA Calandra has been unable to get any further information. Based on information from facility, it was determined R1 resided in a portion of the facility not licensed by our agency.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
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-20241125122455
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: BROOKDALE REDWOOD CITY
FACILITY NUMBER: 415600874
VISIT DATE: 03/13/2025
NARRATIVE
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Since the allegations are alleged to have occurred in areas our agency has no jurisdiction or inspection authority over, these allegations are determined to be unfounded due to being unable to investigate because of no inspection authority.

The Department has investigated the complaint allegations of possible physical plant violations. It was determined the allegations are unfounded, meaning the allegations are false, could not have happened and/or is without a reasonable basis and therefore dismissed.

This report is reviewed and discussed with facility representative and exit interview conducted.
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2