415601052-11-6-2023-14-AS-KHOS-CYENMY-20231211093554

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415601052
Report Date: 11/06/2023
Date Signed: 11/06/2023 06:27:18 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
09/20/2023 and conducted by Evaluator Grace Donato

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20230920091013

FACILITY NAME:	SILVER OAKS		FACILITY NUMBER:	415601052
ADMINISTRATOR:	OLLIE VANCE		FACILITY TYPE:	740
ADDRESS:	16 COLEMAN PLACE		TELEPHONE:	(650) 322-2022
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY:	43	CENSUS: 35	DATE:	11/06/2023
		UNANNOUNCED	TIME BEGAN:	08:56 AM
MET WITH:	Ollie Vance & Shayla Brewster		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Staff are unable to communicate with residents due to a language barrier

INVESTIGATION FINDINGS:

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On 11/06/23, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Administrator Ollie Vance & Resident Care Coordinator Shayla Brewster. LPA explained the purpose of the visit.

Regarding the allegation that Staff are unable to communicate with residents due to a language barrier, reporting party (RP) stated the facility has been hiring caregivers that only speak Spanish and the residents can’t communicate their needs with them.

LPA observed during breakfast and activity time that Spanish speaking caregivers try to communicate with residents. Caregivers that were observed try to do basic sign language. They asked residents if they wanted some water or try to show them where they can sit during the start of the activity.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: April Cowan	TELEPHONE: (650) 266-8865
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

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-20230920091013

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: SILVER OAKS	FACILITY NUMBER: 415601052
	VISIT DATE: 11/06/2023

NARRATIVE

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Based on record reviews, the facility has created a schedule where residents are grouped and assigned two caregivers. These caregivers that are assigned are a combination of one Spanish speaking and one English speaking or bilingual.

LPA interviewed three caregivers. LPA was able to communicate with them through google translate and some hand signals. All three understand basic English. While they may not be able to speak the language easily, they can understand the basics. LPA was able to interview family members and it was mentioned that while language may be an issue, facility is addressing it by trying to hire more English-speaking caregivers. While it is a work in progress, staffing has consistently improved.

Therefore, based on the interviews conducted, files reviewed, and information collected, the above allegations are found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred.

SUPERVISOR'S NAME: April Cowan	TELEPHONE: (650) 266-8865
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

LIC9099 (FAS) - (06/04)

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