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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430701864
Report Date: 11/12/2025
Date Signed: 11/12/2025 01:45:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2025 and conducted by Evaluator Murial Han
PUBLIC
COMPLAINT CONTROL NUMBER: 26-AS-20251106134557
FACILITY NAME:LYTTON GARDENS COMMUNITY CAREFACILITY NUMBER:
430701864
ADMINISTRATOR:ANAHI MCKANEFACILITY TYPE:
740
ADDRESS:649 UNIVERSITY AVENUETELEPHONE:
(650) 617-7338
CITY:PALO ALTOSTATE: CAZIP CODE:
94301
CAPACITY:55CENSUS: 42DATE:
11/12/2025
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Administrator, Anahi MckaneTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility is not meeting resident's basic needs
INVESTIGATION FINDINGS:
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On 11/12/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced 10-day complaint visit. LPA met with administrator, Anahi McKane and explained the purpose of today's visit.

Regarding to the allegation of- facility is not meeting resident's basic needs, the reporting party stated that the private caregiver reported that resident- in-question (R1)'s mattress was smelly and the garbage can was filled with soiled diapers. The reporting party also stated that R1 recognized that the facility provided assistance with bathing, housekeeping and checking on him/her every night.

As part of the investigation, LPA interviewed the administrator, R1, Staff #1 (S1) and Staff #2 (S2).

According to the administrator, the facility provides housekeeping services once a week but resident's trash is being emptied on a daily basis. However, R1 did not want staff to collect his/her trash on a daily basis rather R1 would place the trash can outside of the apartment 2- 3 times a week for the housekeeper to empty it. The administrator stated that R1 is an independent resident who likes to perform his/her own activities of daily living (ADLs).

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
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
Control Number 26-AS-20251106134557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: LYTTON GARDENS COMMUNITY CARE
FACILITY NUMBER: 430701864
VISIT DATE: 11/12/2025
NARRATIVE
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LPA interviewed S1 and S2 and they stated that they have observed an odor in R1's room because R1 preferred to pile up a lot of soiled pull-ups in the trash can before allowing them to empty it and they were only allowed to change R1's beddings when R1 asked them to do so. They stated that R1 managed his/her own care and R1 wanted to do everything independently.

LPA interviewed R1 who stated that for the most part, staff members are courteous and they are providing the care and services that R1 needs.

After the investigation, this allegation is deemed to be unsubstantiated.

Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2