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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202543
Report Date: 04/15/2026
Date Signed: 04/15/2026 03:29:36 PM

Unfounded


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
04/13/2026 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20260413164303
FACILITY NAME:GRACE GARDEN RCFEFACILITY NUMBER:
435202543
ADMINISTRATOR:FESSEHA, PATTI YFACILITY TYPE:
740
ADDRESS:2463 GLEN EXETER WAYTELEPHONE:
(408) 661-6623
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY:6CENSUS: 5DATE:
04/15/2026
UNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:Patti FessehaTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Facility staff verbally abuses resident
Staff do not assist residents with medical appointments
Facility staff does not assist resident with changing of cloths daily
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced compaint investigation visit. LPA announced the purpose of the visit and met with Patti Fesseha. LPA observed 3 residents in living room and 2 residents in their room. LPA observed 3 staff.

On 04/13/2026 the department recieved a complaint with the above allegations.

During visit LPA interviewed 5 residents and 3 staff including Adminsitrator. 5 out of 5 residents stated that the staff treat them with dignity and respect. 5 out of 5 residents stated the staff changes their clothing every day or as needed. 5 out of 5 residents stated they like living at the facility and they love the food. 2 out of 3 residents stated the facility staff will give them a ride to the doctors and the doctor will also come to see them at the facility. 2 out of 2 residents stated their family member will take them to the doctors.

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Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
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 26-AS-20260413164303
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: GRACE GARDEN RCFE
FACILITY NUMBER: 435202543
VISIT DATE: 04/15/2026
NARRATIVE
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3 out of 3 staff stated that they have not seen staff verbally abuse residents. 3 out of 3 staff stated the residents get their clothing changed daily and sometimes more often if they become soiled. 2 out of 2 staff stated that that ADM will give resident a ride to doctor. 3 out of 3 staff stated everybody in the facility gets along and have not witnessed any staff treat residents rude or disrespectful. 1 out of 3 staff stated everyone is happy.

This Department has investigated the above allegations to be unfounded meaning the allegations is false, could not have happened, and/or is without a reasonable basis.

This report was reviewed with Patti Fesseha Administrator and a copy of the report was provided.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2026
LIC9099 (FAS) - (06/04)
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