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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385601045
Report Date: 04/07/2026
Date Signed: 04/07/2026 03:11:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2026 and conducted by Evaluator Yi Sam Jian
COMPLAINT CONTROL NUMBER: 14-AS-20260127162859
FACILITY NAME:PORTOLA GARDENSFACILITY NUMBER:
385601045
ADMINISTRATOR:GREGORY K BOGARTFACILITY TYPE:
740
ADDRESS:350 UNIVERSITY STTELEPHONE:
(415) 337-1587
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY:132CENSUS: 101DATE:
04/07/2026
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Gregory BogartTIME COMPLETED:
03:16 PM
ALLEGATION(S):
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-Staff handled resident in a rough manner
-Resident sustained injuries while in care
-Staff did not ensure hot water was availabe at the facility for residents' use
INVESTIGATION FINDINGS:
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On 04/07/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unnannounced complaint investigation visit. LPA met with Administrator, Gregory Bogart, LPA explained the purpose of the visit.

Regarding the allegation that staff handled the resident in a rough manner, the Department conducted an investigation. During interview with residents and staffs, Resident R1 denied that staff handled her roughly and stated that staff were gentle during showering.

Regarding the allegation that the resident sustained injuries while in care, the Department conducted an investigation. Resident R1 denied that any injuries occurred during care. No documentation was provided indicating that an injury occurred while in care, and the staff and Administrator reported no injuries requiring medical attention.

cont to 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
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 14-AS-20260127162859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PORTOLA GARDENS
FACILITY NUMBER: 385601045
VISIT DATE: 04/07/2026
NARRATIVE
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Regarding the allegation that staff did not ensure hot water was available for residents’ use, the Department conducted an investigation. Resident R1 reported that hot water was available, and staff denied any ongoing issues. The facility provided documentation of water heater replacement. The LPA tested water temperatures in three shower rooms and found them to be within regulatory compliance.

Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove whether the allegations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed and a copy of this report is provided to the administrator.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2