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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202422
Report Date: 07/13/2023
Date Signed: 07/13/2023 02:06:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2020 and conducted by Evaluator Ryker Heberle
COMPLAINT CONTROL NUMBER: 26-AS-20200610133731
FACILITY NAME:LAUREL HEIGHTSFACILITY NUMBER:
435202422
ADMINISTRATOR:NENITA ABADFACILITY TYPE:
740
ADDRESS:17340 OAK LEAF DR.TELEPHONE:
(408) 778-4803
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:6CENSUS: 6DATE:
07/13/2023
UNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Nenita AbadTIME COMPLETED:
02:33 PM
ALLEGATION(S):
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Staff spoke inappropriately to resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced complaint investigation on 07/13/2023. LPA met with Administrator Nenita Abad (Admin). During today’s tele-visit, LPA toured the facility and interviewed 1 staff and all 6 residents.

During the tour 6 out of 6 residents stated that they were satisfied with living at the facility. When asked about how staff treated residents, 6 out of 6 residents stated that staff was helpful and friendly. 6 out of 6 residents interviewed stated that they could not recall a time in which staff spoke to them in an inappropriate or condoscending manner. 2 out of 6 residents interviewed stated that they have seen arguments escalate between residents, but not to the point of name calling or threats.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Ryker Heberle
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
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 26-AS-20200610133731
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: LAUREL HEIGHTS
FACILITY NUMBER: 435202422
VISIT DATE: 07/13/2023
NARRATIVE
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6 out of 6 residents interviewed stated that they have never seen staff use swear words at residents receiving care. 6 out of 6 residents interviewed stated that they could not remember a time when staff told them that they were liars or that they were lying.

Interviewed staff member (S1) stated that they have never seen or heard of staff members speaking condescendingly to residents. S1 stated that they had hears of an incident that occurred years ago where a staff member "got agitated" with a resident. When asked to elaborate, S1 stated that they were not aware of the details, as it happened a long time ago and she wasn't present for the incident. LPA asked S1 if they ever followed up for details, but S1 stated that they had not, because they believed that the incident was nothing more than a common disagreement.

During tour of the facility, LPA did not observe any evidence indicating verbal/physical abuse or tension between residents and staff.

This Department has investigated the above allegation. Based on interviews and LPA observation the Department has determined that the allegation was Unsubstantiated, meaning that 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.

Exit interview conducted. This report was reviewed with Administrator Nenita Abad and a copy with appeal rights was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Ryker Heberle
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2