415600979-4-30-2024-14-AS-ACON-D59QZ4-20240514123609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600979
Report Date: 04/30/2024
Date Signed: 04/30/2024 07:39:18 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 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
03/29/2024 and conducted by Evaluator Murial Han

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20240329092656

FACILITY NAME:	GRATIA HOME		FACILITY NUMBER:	415600979
ADMINISTRATOR:	LETRONDO, LILIBETH		FACILITY TYPE:	735
ADDRESS:	2585 WENTWORTH DRIVE		TELEPHONE:	(650) 580-1266
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY:	4	CENSUS: 3	DATE:	04/30/2024
		UNANNOUNCED	TIME BEGAN:	05:15 PM
MET WITH:	Administrator, Lilibeth Letrondo		TIME COMPLETED:	07:50 PM

ALLEGATION(S):

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Administrator is not at the facility the required amount of time
Staff do not give residents P&I monies

INVESTIGATION FINDINGS:

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On April 30, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to deliver the findings of the complaint investigation. LPA met with the administrator and explained the purpose of today's visit.

Regarding to allegation of- administrator is not at the facility the required amount of time, there is no additional information forthcoming from the reporting party. However, during the initial reporting, the reporting party stated that the administrator has very limited interactions with resident and not on the premises 98% of the time as stated on the work schedule.

As part of the investigation, LPA interviewed the administrator and facility manager and facility staff.

The administrator denied the allegation and stated that she goes to the facility almost daily to meet with staff, to work on documents, and to check on clients.

LPA interviewed the house manager and 4 facility staff and all of them reported that the administrator goes to the facility 2-3x per week on different shifts to conduct staff meetings, to provide information regarding residents, to check on residents, etc.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024

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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Control Number 14-AS-20240329092656

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GRATIA HOME	FACILITY NUMBER: 415600979
	VISIT DATE: 04/30/2024

NARRATIVE

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Regarding to allegation of- staff do not give residents P & I money, there is no additional information forth coming from the reporting party. However, doing the initial reporting, the reporting party stated that residents do not have the right to their own money, they do not have any spending money while on community outings and one of the resident's behavior got escalated multiple times due to money issues.

As part of the investigation, LPA interviewed house manager, interviewed responsible parties and reviewed resident's record of client's resident's safeguarded cash resources.

According to the house manager, they take the residents on outings every week and they provide them with their P & I money so they could buy some personal item, get a hair cut, etc. In addition, the house manager stated that residents and their responsible parties/conservators have never complained about facility not providing their loved ones with their P & I money. Furthermore, the house manager stated that resident #1 (R1) recently broke a laptop and wanted to purchase a new one on-line, however, R1's responsible party wanted to purchase it for him/her but R1 was upset at the facility because the staff was telling R1 not to purchase it on his/her own.

LPA interviewed responsible parties and they stated that they have never encountered any negative experience from the facility staff regarding to their loved one's P & I money. They also stated that the facility gave their loved ones money when needed such as going on outings, purchasing new clothes, purchasing new computer and other items.

Based on the documents provided by the facility, LPA observed residents received their P & I money on a regular basis.

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

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 allegation is UNSUBSTANTIATED.

This report is reviewed and discussed with the administrator. A copy is provided.

SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024

LIC9099 (FAS) - (06/04)

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