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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415600900
Report Date: 06/19/2024
Date Signed: 06/19/2024 11:49:33 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
06/10/2024 and conducted by Evaluator Jaime Vado
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20240610110814
FACILITY NAME:ABIGAIL COMPLETE CARE, INCFACILITY NUMBER:
415600900
ADMINISTRATOR:FRAGIACOMO, VIVIANFACILITY TYPE:
740
ADDRESS:1230 HOPKINS AVENUETELEPHONE:
(650) 224-8853
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:24CENSUS: 23DATE:
06/19/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Administrator - Vivian FragiacomoTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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- Staff are unable to communicate with residents in care
- Staff do not treat residents with dignity or respect
INVESTIGATION FINDINGS:
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On 06/19/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver the findings regarding the allegations. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit.

During the investigation LPA conducted interviews with staff, resident family members, and made facility observations. As a result of the investigation process LPA did not receive any reports by family of the staff not treating residents with dignity or respect. LPA made observations as well and did not observe any staff mistreatment. Interviews did not show any dignity or respect issues. Staff are observed and inteviewed as well and there was no observable or reportable issues of communication by staff. Due to no other information or contact made by the complainant LPA does not have any evidence to prove these allegations took place. These allegations are unfounded.

This agency has investigated the complaint alleging: Staff are unable to communicate with residents in care and Staff do not treat residents with dignity or respect. 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 the administrator and a copy of this report is provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: April CowanTELEPHONE: (650) 266-8865
LICENSING EVALUATOR NAME: Jaime VadoTELEPHONE: (559) 476-9353
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
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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