415600964-7-16-2026-14-AS-BCHN-DYDNH2-20260929102800

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600964
Report Date: 07/16/2026
Date Signed: 07/16/2026 11:29:37 AM

Unsubstantiated

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
04/28/2026 and conducted by Evaluator John Calandra

COMPLAINT CONTROL NUMBER: 14-AS-20260428091442

FACILITY NAME:	KENSINGTON PLACE REDWOOD CITY		FACILITY NUMBER:	415600964
ADMINISTRATOR:	APRIL VARGAS		FACILITY TYPE:	740
ADDRESS:	2800 EL CAMINO REAL		TELEPHONE:	(650) 363-9200
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	67	CENSUS: 61	DATE:	07/16/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	April Vargas, Executive Director		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Staff did not ensure resident received one-to-one care staff

INVESTIGATION FINDINGS:

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On 7/16/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to deliver conclusionary findings for this complaint received by the Department on 4/28/2026. LPA Calandra was greeted by April Vargas, Executive Director and explained the purpose of the visit.

Complainant alleged that R1 was supposed to receiving one to one care from S1 but was not. Based on interviews and record review, R1 did not have a 1:1 agreement and was receiving companion services from S1 not assistance with activities of daily living(ADLs). In addition, S1 was providing companion services after their shift had ended and on occasions when they were sick or on vacation notified the responsible party/power of attorney(poa) they would not be able to work.

Based on record review and interviews conducted, R1 was not receiving one to care from S1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore the above allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted and a copy of the report was provided to the facility representative.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

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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