Complaint Investigation Report

385600432-7-24-2025-14-AS-BCHN-DLLNXM-20250917105122

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

06/11/2025 and conducted by Evaluator Yi Sam Jian

COMPLAINT CONTROL NUMBER: 14-AS-20250611094444

Licensee is not ensuring there is one working shower for every ten persons

On 07/24/2025, Licensed Program Analyst (LPA) Yi Sam Jian and Dominic Tobola arrived at the facility to deliver conclusionary finding for this complaint received by the Department. LPA was greeted by administrator, Anna Villanuva-Aoay, and explained the purpose of the visit.

Regarding the allegation that licensee is not ensuring there is one working shower for every ten persons. The Department has investigated the above allegation. Based on observations and interviews, the facility has three bathrooms with showering capacity, but only two are functional, serving 16 residents and three staff members. Based upon interivews with staff and residents, there is contradicting information received.The allegation is UNSUBSTANTIATED. Although the 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.

Report is reviewed with administrator and a copy is provided.