015600255-9-17-2025-15-AS-YFLS-DNF2VF-20251114164351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015600255
Report Date: 09/17/2025
Date Signed: 09/17/2025 03:04:14 PM

Unsubstantiated

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
09/11/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250911164816

FACILITY NAME:	MERCY RETIREMENT & CARE CENTER		FACILITY NUMBER:	015600255
ADMINISTRATOR:	MCCARRON, KATHLEEN		FACILITY TYPE:	741
ADDRESS:	3431 FOOTHILL BOULEVARD		TELEPHONE:	(510) 534-8540
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94601
CAPACITY:	160	CENSUS: 75	DATE:	09/17/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Kathleen McCarron, Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff yelled at residents in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/17/25 at 1:30 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver in regard to the allegations above. LPA met with Kathleen McCarron, Administrator and explained the purpose of the visit.

During the course of the investigation LPA interviewed W1, facility residents (R1, R2, R3), R3’s Power of Attorney (W2 & W3), R3’s private caregiver (W4) and facility staff (S1, S2, S3).

All facility residents, R1, R2 and R3, denied ever hearing staff yell at the residents and stated that they are treated with respect. All said that the staff at the facility are very helpful and kind.

W2, W3 and W4 all stated that they also have never heard staff yell at the residents, including R3, describing the staff as thoughtful, kind and caring.

***report continues on LIC9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

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-20250911164816

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: MERCY RETIREMENT & CARE CENTER	FACILITY NUMBER: 015600255
	VISIT DATE: 09/17/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

***report continues from LIC9099***

Facility staff, S1, S2 and S3 also stated that they have never heard facility staff yell at the residents. S1 stating that if she ever did hear staff yell at the residents would be a disciple issue and that has not happened.

This agency has investigated the complaint alleging staff yelled at residents in care. We have found that the complaint was 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.

Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2