435294340-9-23-2025-26-AS-ACON-DMBUFL-20251010153252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435294340
Report Date: 09/23/2025
Date Signed: 09/23/2025 11:01:46 AM

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
08/21/2025 and conducted by Evaluator Komal Curley

PUBLIC

COMPLAINT CONTROL NUMBER: 26-AS-20250821151801

FACILITY NAME:	MOLDAW FAMILY RESIDENCES AT 899 CHARLESTON		FACILITY NUMBER:	435294340
ADMINISTRATOR:	MARK BADDAS		FACILITY TYPE:	741
ADDRESS:	899 EAST CHARLESTON ROAD		TELEPHONE:	(650) 433-3600
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	270	CENSUS: 215	DATE:	09/23/2025
		UNANNOUNCED	TIME BEGAN:	10:34 AM
MET WITH:	Director of Health Services, Layana Santos		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Unqualified staff providing care and supervision.
Staff do not have proper training.

INVESTIGATION FINDINGS:

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On September 23, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Director of Health Services, Layana Santos and explained the purpose of the visit.

Regarding the allegation, unqualified staff providing care and supervision, according to the reporting party, there are residents who have catheters and colostomy bags, however believes that these caregivers are not trained to care for the residents.

During the investigation, LPA interviewed the Administrator, Director of Health Services, reviewed records; including training records and exception request submitted to the Department, and reviewed resident files.

Based on interviews conducted and records reviewed, there is no resident at the facility who has a colostomy bag, however there is a resident (R1) who has a foley catheter. On March 26, 2025, an exception request was submitted to the Department to retain R1 with a foley catheter, however on April 11, 2025, the Department notified the facility that an exception was not needed for R1 as there were no concerns identified with facility's training materials and R1's care plan. (continue to 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cowan April
LICENSING EVALUATOR NAME: Komal Curley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025

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 26-AS-20250821151801

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: MOLDAW FAMILY RESIDENCES AT 899 CHARLESTON	FACILITY NUMBER: 435294340
	VISIT DATE: 09/23/2025

NARRATIVE

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Based on training records reviewed, in-service trainings were provided to staff by Suncrest Hospice on 12/12/25, 3/21/25, and 4/30/25 in regards to catheter care. According to the Director of Health Services and the Wellness Nurse Supervisor, R1 goes to the doctor when his/her tubing needs to be changed and LVNs assist with emptying R1's foley catheter.

Regarding the allegation, staff do not have proper training, according to the reporting party, facility staff does not have proper equipment to lift residents who are not mobile and they do not have proper lifting training.

During the investigation, LPA interviewed the Director of Health Services and Wellness Nurse Supervisor, reviewed training records, and reviewed resident files. Based on records reviewed, there are 3 residents who are two persons assist, however the residents do not require hoyer lifts currently. Based on observations, LPA did observe a hoyer lift at the community. According to training records, an in-service training for proper body mechanics/transfers was completed by the facility's in-house therapy, Empower Me vendor on 3/27/25. According to Director of Health Services and Wellness Nurse Supervisor, besides the Relias training that are being done in regards to proper lifting, Empower me vendor will being conducting quarterly trainings for proper lifting/body mechanics, in addition to as needed training when there is a change in condition.

Based on information collected, and records reviewed, the department has determined that although the above allegations 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 above allegations are UNSUBSTANTIATED.

Report is reviewed with Director of Health Services, Layana Santos and a copy is provided.

SUPERVISORS NAME: Cowan April
LICENSING EVALUATOR NAME: Komal Curley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025

LIC9099 (FAS) - (06/04)

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