Complaint Investigation Report

380503052-3-10-2026-14-AS-BCHN-DSNSQX-20260330140525

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/28/2026 and conducted by Evaluator Yi Sam Jian

COMPLAINT CONTROL NUMBER: 14-AS-20260228164120

Licensee did not ensure that facility is free of pests.

On 03/10/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced 10-day complaint visit. LPA met with staff, Wayne Smith, LPA explained the purpose of the visit. During the visit, LPA discussed the allegation with staff and conducted a tour of the facility. The facility had previously been cited for pest-related conditions during a Case Management inspection conducted on 02/18/2026.

Based on the information obtained during the investigation, including documentation from local government agencies, The Department determined that the preponderance of evidence standard has been met, therefore the allegations above are found to be SUBSTANTIATED. A violation related to pest control was previously cited during a case management visit conducted on 02/18/2026, and the matter continues to be addressed through the ongoing case management process. As the violation has already been cited, no additional citation is being issued at this time.The report was reviewed with staff, and a copy was provided.