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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415600979
Report Date: 09/04/2024
Date Signed: 09/04/2024 10:59:05 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
08/26/2024 and conducted by Evaluator Murial Han
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20240826124600
FACILITY NAME:GRATIA HOMEFACILITY NUMBER:
415600979
ADMINISTRATOR:LETRONDO, LILIBETHFACILITY TYPE:
735
ADDRESS:2585 WENTWORTH DRIVETELEPHONE:
(650) 580-1266
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:4CENSUS: 3DATE:
09/04/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Manager, Veronica CochonTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Licensee placed cameras in the facility without the residents/ responsible party's consent.
INVESTIGATION FINDINGS:
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On September 4, 2024, Licensing Program Analyst (LPAs) Murial Han and Komal Charitra conducted an unannounced 10-day complaint visit and LPAs met with Manager, Veronica Cochon and explained the purpose of today's visit.

Regarding to the allegation of- licensee placed cameras in the facility without the residents/responsible party's consent, there is no additional information forthcoming from the reporting party. However, during the initial reporting, the reporting party stated that the administrator installed camera without the consent of the clients and the staff.

During today's visit, LPAs interviewed the manager and toured the facility.

According to the manager, a few weeks ago, the licensee installed cameras in the common areas only - the kitchen, the living room and the hallway, however, all the cameras were removed after 2-3 days because a few staff met with the administrator and expressed feeling uncomfortable working in an environment with cameras.

The manager also stated that the licensee planned to install the cameras a few years ago to ensure resident's safety and some of the older staff and responsible parties were aware but not the newer staff members.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
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-20240826124600
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: GRATIA HOME
FACILITY NUMBER: 415600979
VISIT DATE: 09/04/2024
NARRATIVE
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During the tour, LPAs observed the holes on the wall from the installed cameras and they were located in the kitchen, in the living/dinning room and in the hallway and LPA did not observed anything in resident's rooms and bathrooms.

After the investigation, this allegation is deemed to be unsubstantiated as LPAs observed cameras were once installed in the common areas and not in the resident's rooms and bathrooms and after the meeting with facility staff, the Licensee removed all the cameras.

Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

This report is reviewed and discussed with the manager. A copy is provided.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2