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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415601200
Report Date: 03/24/2026
Date Signed: 03/24/2026 10:00:45 AM

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
01/08/2026 and conducted by Evaluator John Calandra
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20260108165840
FACILITY NAME:MARBELLA REDWOOD CITYFACILITY NUMBER:
415601200
ADMINISTRATOR:CERON, MONICAFACILITY TYPE:
740
ADDRESS:485 WOODSIDE RDTELEPHONE:
(650) 366-3900
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:130CENSUS: 83DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Katreena Borlaza, Business Office Director and Monica Mendoza Ceron, Senior Executive Director/AdministratorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Unqualified staff are providing care and supervision to residents in care.
INVESTIGATION FINDINGS:
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On 3/24/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to deliver conclusionary findings for this complaint received by the Department on 1/8/2026. LPA Calandra was greeted by Katreena Borlaza, Business Office Director and explained the purpose of the visit. Monica Mendoza Ceron, Senior Executive Director arrived later during the visit.

Complaint alleged that unqualified staff are providing care and supervision to residents in care. Reporting party stated that the Licensee hired 1 Licensed Vocational Nurse(LVN) and multiple Medtechs to provide care and supervision. According to the Administrator, all care staff including Medtechs and Caregivers are required to complete 2 weeks of training prior to starting their roles. In addition, it is the Licensee's policy that all Medtechs are required to perform the duties of a Caregiver before they become a Medtech. In addition, based on record review, staff have received the required training regarding subjects such as care and supervision, Dementia, Postural Supports and Hospice care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
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
Control Number 14-AS-20260108165840
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: MARBELLA REDWOOD CITY
FACILITY NUMBER: 415601200
VISIT DATE: 03/24/2026
NARRATIVE
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Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted. This report was reviewed with facility representative and a copy provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: John Calandra
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2