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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 011400061
Report Date: 12/11/2025
Date Signed: 12/11/2025 05:05:07 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/03/2025 and conducted by Evaluator Alicia Delmundo
COMPLAINT CONTROL NUMBER: 15-AS-20251203223548
FACILITY NAME:BETHESDA HOMEFACILITY NUMBER:
011400061
ADMINISTRATOR:DAVID R. MARTINEZFACILITY TYPE:
740
ADDRESS:22427 MONTGOMERYTELEPHONE:
(510) 538-8300
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:28CENSUS: 15DATE:
12/11/2025
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Joan Acob/StaffTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee did not give residents adequate notice of facility closure.
INVESTIGATION FINDINGS:
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On this day, 12/11/25, at 4:00 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced for a complaint visit. LPA met with staff, Joan Acob. LPA called and spoke over the phone with Roselyn Chand, administrator (ADM), and informed the reason for visit. ADM authorized Joan Acob to sign and receive this report.

It was alleged that the facility announced that it is closing and it will not guarantee 60 days.

On 11/28/25, ADM notified LPA stating that the Bethesda's Board Directors have decided to cease the Bethesda's assisted living services. On 12/01/25, LPA requested ADM for copy of the notication to the residents and residents' responsilble person which showed 60-day notification. ADM stated she has been assisting the residents and residents' responsible persons in finding placements which LPA confirmed with staff (S1).
.....continued on 9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 12/11/2025
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 15-AS-20251203223548
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: BETHESDA HOME
FACILITY NUMBER: 011400061
VISIT DATE: 12/11/2025
NARRATIVE
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Based on information gathered, the allegation is unfounded. A finding that a complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No deficiency cited.

Exit interview and copy of this report.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:

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

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