415600874-8-29-2023-14-AS-KHOS-CVSGVA-20230918054025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600874
Report Date: 08/29/2023
Date Signed: 08/29/2023 03:42:21 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
06/27/2023 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20230627103559

FACILITY NAME:	BROOKDALE REDWOOD CITY		FACILITY NUMBER:	415600874
ADMINISTRATOR:	MONICA CERON TAPIA		FACILITY TYPE:	740
ADDRESS:	485 WOODSIDE RD		TELEPHONE:	(650) 366-3900
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	130	CENSUS: 72	DATE:	08/29/2023
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Monica Tapia		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not give a resident a 60 day written notice of a new charge.

INVESTIGATION FINDINGS:

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On this day, Licesnsing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings of the allegation received. LPA met with administrator Monica Tapia and explained the purpose of today's visit.

During the investigation LPA conducted interviews and reviewed documents related to the allegation. It was discovered that the fee was automatically billed not at the control of the facility itself. Per interview with the administrator, the fee was pushed out automatically by the corporate billing office, without the knowledge of the facility staff. This is a care based fee not an increase of rent as agreed on admission agreements at time of registration. Upon reporting the fee by the responsible party, and discussions with the administrator, the facility credited the fee to the responsible party. The facilty maintains that they did not enforce the fee due to it being added without their knowledge so the facility credited immediately. This allegation is ufounded.

This agency has investigated the complaint alleging, "Staff did not give a resident a 60 day written notice of a new charge". We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.Report is reviewed with Monica Tapia.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Cara Smith	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jaime Vado	TELEPHONE: (559) 476-9353
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

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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