415600900-1-10-2024-14-AS-KHOS-CZHP27-20240115095529

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600900
Report Date: 01/10/2024
Date Signed: 01/10/2024 11:29:58 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
01/02/2024 and conducted by Evaluator Jaime Vado

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20240102131604

FACILITY NAME:	ABIGAIL COMPLETE CARE, INC		FACILITY NUMBER:	415600900
ADMINISTRATOR:	FRAGIACOMO, VIVIAN		FACILITY TYPE:	740
ADDRESS:	1230 HOPKINS AVENUE		TELEPHONE:	(650) 224-8853
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	24	CENSUS: 22	DATE:	01/10/2024
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Administrator Vivian Fragiacomo		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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- Staff did not obtain proper training
- Staff did not obtain a proper health screening prior to working at the facility

INVESTIGATION FINDINGS:

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On 01/10/2023 at 10:40am , Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver finidings regarding the allegations referenced above. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit.

During the investigation, LPA conducted interviews, reviewed records, and discussed training and health screening practices. It is discovered through the investigation process that the facility does require appropriate health screening prior to be hired. Per file reviews made, proper training is on file for 4 of 4 med tech files reviewed. 7 of 7 staff files made indicate that staff are TB tested with proper health screening prior to employment and are properly associated to the facility per facility association roster. Complainant was contacted but no return contact was received to support allegations. These allegations are unfounded.

This agency has investigated the complaint alleging "Staff did not obtain proper training and Staff did not obtain a proper health screening prior to working at the facility". 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 Vivian.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: April Cowan	TELEPHONE: (650) 266-8865
LICENSING EVALUATOR NAME: Jaime Vado	TELEPHONE: (559) 476-9353
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024

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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