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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415601039
Report Date: 08/27/2025
Date Signed: 08/27/2025 01:17:59 PM

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
07/30/2025 and conducted by Evaluator Jaime Vado
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20250730083335
FACILITY NAME:CADENCE MILLBRAEFACILITY NUMBER:
415601039
ADMINISTRATOR:HOLLY SUITERFACILITY TYPE:
740
ADDRESS:1201 BROADWAYTELEPHONE:
(650) 742-9150
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY:165CENSUS: DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator - Holly SuiterTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
- Staff did not keep the facility free of pest
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/27/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver finding regarding the recieved allegations. LPA met with facility administrator Holly Suiter and explained the purpose of today's visit.

During the investigation LPA conducted interviews, made observations, and reviewed petinent documents regarding the allegations. It was discovered that there was an inspection done by the county Environmental Health Services confirmed the finding of one deceased pest in a trap set by their active contract with a pest control company. The facility is actively monitoring and taking preventative measures in pest control in the facility. Based on the report reveiwed from the county, the kitchen did pass inspections for food safety and storage. This allegation is unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with Holly and a copy is provided on this day.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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
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
07/30/2025 and conducted by Evaluator Jaime Vado
COMPLAINT CONTROL NUMBER: 14-AS-20250730083335

FACILITY NAME:CADENCE MILLBRAEFACILITY NUMBER:
415601039
ADMINISTRATOR:HOLLY SUITERFACILITY TYPE:
740
ADDRESS:1201 BROADWAYTELEPHONE:
(650) 742-9150
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY:165CENSUS: DATE:
08/27/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator - Holly SuiterTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff are not providing adequate food service to residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/27/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver finding regarding the recieved allegations. LPA met with facility administrator Holly Suiter and explained the purpose of today's visit.

During the investigation LPA conducted interviews, made observations, and reviewed petinent documents regarding the allegations. In regards to food service, the kitchen was closed for 24hrs or less due to the finding of a pest. Food services continued with outside meals being provided by the facility and the facility's sister community provided additional food services. Additional meals and meal prepartations for all residents including those with dietary restrictions or orders were met with no issue. No meals were skipped or discontinued during the temporary kitchen closure. This allegation is unfounded.

This agency has investigated the complaint alleging "Staff are not providing adequate food service to residents". 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 Holly and a copy is provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2