415600980-12-5-2023-14-AS-KHOS-CYENHP-20231211092904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600980
Report Date: 12/05/2023
Date Signed: 12/05/2023 11:25:00 AM

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
11/27/2023 and conducted by Evaluator Murial Han

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20231127123835

FACILITY NAME:	ATRIA AT FOSTER SQUARE		FACILITY NUMBER:	415600980
ADMINISTRATOR:	FREDDIE FULLON		FACILITY TYPE:	740
ADDRESS:	707 THAYER LN		TELEPHONE:	(650) 532-2460
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	216	CENSUS: 148	DATE:	12/05/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Business Office Manager, Seema Chand		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Facility is not refunding a pre-admission fee.

INVESTIGATION FINDINGS:

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On December 5, 2023 Licensing Program Analysts (LPAs) Murial Han and John Calandra conducted an unannounced 10-day complaint visit. LPAs met with the Business Office Manager, Seema Chand and explained the purpose of today's visit.

Regarding to allegation of - facility is not refunding a pre-admission fee, the reporting party stated that he/she paid $9100 (first month rent) to secure a room for his/her loved one and was told by the facility that it would be a refundable deposit if his/her loved one decided not to proceed with the move-in. Subsequently, he/she was charged for the 2nd month's rent while his/her loved one was still deciding whether to move in or not. Then his/her loved one decided not to proceed with the move- in and the facility is refusing to refund the pre-admission.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Cara Smith	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Murial Han	TELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023

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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Control Number 14-AS-20231127123835

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ATRIA AT FOSTER SQUARE	FACILITY NUMBER: 415600980
	VISIT DATE: 12/05/2023

NARRATIVE

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As part of the investigation, LPA interviewed the business office manager and reviewed documents.

According to the business office manager, the facility did not charge the reporting party for pre-admission fee as the facility also refer to it as the New Resident Services Fee. In addition, the business office manager stated that the money that was paid to the facility covered the monthly rent.

Based on the Atria At Foster Square Resident Account Summary, the New Resident Service Fee was credited.

Based on the admission agreement provided by the facility, under Term, it stated that this agreement will become effective on the Move In Date listed on the Agreement which was 2/28/2023 and the admission agreement was signed on 2/27/2023. In addition, under termination by you at anytime, it stated that the facility shall be provided a 30 calendar days prior to the date of the termination.

After the investigation, this allegation is deemed to be unfounded as the pre-admission fee was not charged. The amount that was paid by the reporting party was used for the monthly rent.

Based on the above information, the Department has found that this allegation to be UNFOUNDED, meaning that this allegation was false, could not have happened and/or is without a reasonable basis.

This report is reviewed and discussed with the Business Office Manager and a copy is provided.

SUPERVISOR'S NAME: Cara Smith	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Murial Han	TELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023

LIC9099 (FAS) - (06/04)

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