415601140-8-15-2024-14-AS-KHOS-D8BSX7-20240820141524

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415601140
Report Date: 08/15/2024
Date Signed: 08/15/2024 11:42:22 AM

Unfounded

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
08/12/2024 and conducted by Evaluator John Calandra

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20240812164942

FACILITY NAME:	HOPKINS MANOR		FACILITY NUMBER:	415601140
ADMINISTRATOR:	RICARDO ABAN		FACILITY TYPE:	740
ADDRESS:	1235 HOPKINS AVE		TELEPHONE:	(510) 390-8078
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	88	CENSUS: 84	DATE:	08/15/2024
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Ricardo Aban, Executive Director		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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-Staff spoke innapropriately to residents

INVESTIGATION FINDINGS:

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Licensing Program Analysts(LPAs) John Calandra and Kiran Jain met with facility representative to open the complaint received on 8.12.2024 and to deliver conclusionary findings for this complaint. LPAs were greeted by Ricardo Aban, Executive Director and explained the purpose of the visit.

Regarding the allegation that staff spoke inapropriately to residents, LPAs Calandra and Jain interviewed residents. Through these interviews, the LPAs learned that it is not staff but other residents who are yelling inappropriate language and bad words at other residents and that staffing is not a problem at the facility.

The agency has investigated the allegation that staff spoke inapropriately 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.

An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Andrea Medlin	TELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: John Calandra	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024

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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