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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200873
Report Date: 02/13/2025
Date Signed: 02/13/2025 04:16:22 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
02/03/2025 and conducted by Evaluator Kelly Nguyen
COMPLAINT CONTROL NUMBER: 15-AS-20250203123159
FACILITY NAME:POINT AT ROCKRIDGE, THEFACILITY NUMBER:
019200873
ADMINISTRATOR:JEFF SUMABATFACILITY TYPE:
740
ADDRESS:4500 GILBERT STREETTELEPHONE:
(510) 658-9266
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:186CENSUS: 122DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Anna Reddy, Executive DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff hurt resident
Staff do not clean the facility properly
INVESTIGATION FINDINGS:
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On 2/13/2025 at 3:05PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to delivery finding to the complaint investigation in regard to the allegations above. LPA met with Executive Director, Anna Reddy and informed her the reason for visit.

Report Continued on LIC 9099c…
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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-20250203123159
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: POINT AT ROCKRIDGE, THE
FACILITY NUMBER: 019200873
VISIT DATE: 02/13/2025
NARRATIVE
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Allegation: Staff hurt resident. Unsubstantiated

During the course of investigation LPA interviewed 3 residents (R) that are in care of S3. LPA interviewed 3 staff (S) that are on the same shift as S3, and one Witness (W). R1 stated that S3 assisted R1 well. R1 stated “There have not been any time that I felt that a staff hurt me. Staff and myself get along and I do get my needs meet. No staff hurt me. Staff don’t do anything intentional that hurt me. Staff treat me well”. LPA reviewed documents that facility provided related to the above allegation. Facility follow protocol and put S3 on leave while conducting the investigation. Facility concluded that S3 did not hurt R1 intentional. LPA conducted interview 3 staff that worked the same shift as S3. 3 out of 3 stated they have not witnessed nor heard S3 hurt any residents. LPA conducted interviewed with W. W stated S3 “she didn’t not hurt resident intentional, and resident was speaking to low”.

Allegation: Staff do not clean the facility properly. Unsubstantiated

During the investigation LPA interviewed 2 housekeeping staff, and review housekeeping daily schedule, and housekeeping cleaning check list. LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common areas and courtyard. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents.

This agency has investigated the complaint alleging staff hurt resident, and staff do not clean the facility properly.

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: Bennett Fong
LICENSING EVALUATOR NAME: Kelly Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2