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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415601039
Report Date: 07/23/2026
Date Signed: 07/23/2026 04:41:05 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
07/02/2026 and conducted by Evaluator Jaime Vado
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20260702084858
FACILITY NAME:CADENCE MILLBRAEFACILITY NUMBER:
415601039
ADMINISTRATOR:HOLLY SUITERFACILITY TYPE:
740
ADDRESS:1201 BROADWAYTELEPHONE:
(650) 742-9150
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY:165CENSUS: 136DATE:
07/23/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Administrator - Holly SuiterTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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- Residents sustained bruises due to staff neglect or physical abuse
- Staff sleep at the facility while on shift
- Staff left residents on the floor for an extended period of time
- Staff mismanaged residents’ medications
INVESTIGATION FINDINGS:
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On 07/23/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint visit to deliver findings regarding the allegations received. LPA met with the administrator Holly Suiter and explained the purpose of today's visit.

During the investigation, LPA conducted interviews with staff, reviewed medications in both memory care and assisted living, toured the facilty to make observations, and reviewed pertinent documents related to the allegations. There were no reported incidents of residents sustaining bruises due to neglect or physical abuse. There is a system in place to report such findings on residents and none have been generated or reported by staff. Per staff schedule reviewed, there are at least 2 to 3 staff scheduled during night hours. There is no evidence of staff sleeping during these hours.

Continued on page 2...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
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-20260702084858
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: CADENCE MILLBRAE
FACILITY NUMBER: 415601039
VISIT DATE: 07/23/2026
NARRATIVE
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The facility does not have live cameras in the common areas of memory care to support such allegations and no other staff reported witnessing staff sleeping during night shift hours. In regards to residents being left on the floor due to falls, the facility has Safely You cameras in resident rooms with no blind spots. There were no alerts of any falls where a resident was left on the floor for an extended period of time. Alerts were reviewed and no evidence of such was identified by staff. A review was conducted of both memory care and assisted living medications was made by LPA with the assistance of facility staff, their logging routine, and their process was reviewed with no findings of missed medications.
Per staff schedule reviewed, there are at least 2 to 3 staff scheduled during night hours. There is no evidence of staff sleeping during these hours. The facility does not have live cameras in the common areas of memory care to support such allegations and no other staff reported witnessing staff sleeping during night shift hours. In regards to residents being left on the floor due to falls, the facility has Safely You cameras in resident rooms with no blind spots. There were no alerts of any falls where a resident was left on the floor for an extended period of time. Alerts were reviewed and no evidence of such was identified by staff. A review was conducted of both memory care and assisted living medications was made by LPA with the assistance of facility staff, their logging routine, and their process was reviewed with no findings of missed medications at the time of this investigation.

Based on these observations, the above allegations are UNSUBSTANTIATED.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2