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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200874
Report Date: 02/10/2026
Date Signed: 02/10/2026 02:13:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
02/04/2026 and conducted by Evaluator David Doidge
COMPLAINT CONTROL NUMBER: 15-AS-20260204144043
FACILITY NAME:1440 BY THE BAYFACILITY NUMBER:
019200874
ADMINISTRATOR:ALVARADO, ROBERTFACILITY TYPE:
740
ADDRESS:1440 40TH STREETTELEPHONE:
(510) 500-9312
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:175CENSUS: 82DATE:
02/10/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Executive Director Robert AlveradoTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff is isolating a resident.
INVESTIGATION FINDINGS:
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On 02/10/2026 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct an initial 10-day complaint investigation and to deliver findings in regards to the allegation above. LPA met with Executive Director Robert Alverado and explained the purpose of the visit.

During the course of the investigation, LPA obtained copies of R1’s Physician’s Report, Appraisal Needs and Services Plan, Admission Agreement, and the Identification and Emergency sheet. LPA interviewed R1, S! and S2. LPA reviewed facilities community activities calendar, and daily activities flyers.

Allegations: Staff is isolating a resident.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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-20260204144043
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: 1440 BY THE BAY
FACILITY NUMBER: 019200874
VISIT DATE: 02/10/2026
NARRATIVE
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Continued from LIC9099

Investigation Findings: It was reported to the department that a resident feels isolated from peer group. LPA met R1 in the lobby by R1’s self. LPA overserved other residents keeping their distance and not making eye contact with R1 as LPA and R1 walked through the lobby. LPA interviewed R1 who expressed concerns about other residents avoiding R1 which makes making friends and socializing difficult. R1 feels cut off from others and that staff do not encourage socializing amongst residents. R1 was seen by staff returning to R1’s room after speaking with LPA.

LPA spoke with S1 who informed LPA that R1 is in Independent Living and tends to keep to R1’s self. S1 stated R1 is able to leave the facility unassisted and will make trips to local stores a few times a week, alone. S1 and S2 have multiple times encouraged R1 to join group activities and have suggested different events for R1 to join. Neither have ever seen R1 show interest nor attend. S2 reported that R1 is not unconfrontational nor rude but does seem to avoid talking to others. S2 noted R1 is quiet and stays to self.

LPA observed activity calendars with multiple events taking place throughout the day. LPA asked R1 if any seemed interesting. R1 said none did.

Based on interviews and record reviews conducted, the above allegation is unsubstantiated.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy this report was provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC9099 (FAS) - (06/04)
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