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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415601140
Report Date: 07/09/2026
Date Signed: 07/09/2026 02:13:24 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
07/07/2026 and conducted by Evaluator Grace Donato
COMPLAINT CONTROL NUMBER: 14-AS-20260707121308
FACILITY NAME:HOPKINS MANORFACILITY NUMBER:
415601140
ADMINISTRATOR:RICARDO ABANFACILITY TYPE:
740
ADDRESS:1235 HOPKINS AVETELEPHONE:
(510) 390-8078
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:88CENSUS: 81DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
11:34 AM
MET WITH:Ricardo AbanTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff have not completed required training
Staff mishandled resident's medication
Staff spoke to resident in an inappropriate manner
INVESTIGATION FINDINGS:
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On 7/9/2026 LPA Grace Donato conducted an unannounced 10-day complaint inspection. LPA met with Administrator (ADM), Ricardo Aban and explained the purpose of today's visit.

Regarding the allegation of Staff have not completed required training, LPA obtained the training certificate of staff member (S1) and it confirms 8 hours of Medication Management training signed on 6/4/2026. S2 also mentioned that he/she did not say that the S1 was not trained. According to ADM, all staff has medication pass training and there are only 5 staff members who have the Medication Management training.

For the allegation of staff mishandled resident's medication, LPA reviewed records and it shows in the Medication Administration Record (MAR) that all the medications for the resident (R1) have been given except when the resident refused. According to S1, the medications that he/she was answering the questions of R1 as to what medications S1 were currently giving at that time. S1 asked R1 if he/she would want the eye drops administered but R1 refused so S1 had to call another staff to assist.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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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Control Number 14-AS-20260707121308
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: HOPKINS MANOR
FACILITY NUMBER: 415601140
VISIT DATE: 07/09/2026
NARRATIVE
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On the allegation of Staff spoke to resident in an inappropriate manner, during the interview S1 denied shouting at R1 when R1 did not want to take the medication. S1 called assistance from S2 to help with R1. Additionally, LPA interviewed 5 random residents and all stated that they do not have any issues with the staff and that no one has been inappropriate to them.

Based on interviews and observations, the department has determined that 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 allegations are UNSUBSTANTIATED.

Report is reviewed and copy is provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
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