Hopkins Manor

On 9/25/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 3 story building with 54 bedrooms and 21 bathrooms, staff rooms, lounge, dining room, kitchen, front lobby, beauty salon, and medication room. All bedrooms were observed to have the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. Hot water temperature was measured within the required range of 105-120 degrees Fahrenheit. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on February 19, 2025 The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. All soap, sharp objects, and poisons were observed to be locked and in-accessible to persons in care. LPA reviewed 5 resident files and 6 staff files. All were observed to be complete. LPA also reviewed Personal and Incidental (P&I) monies kept at the facility which matched the facility records. LPA Calandra reviewed Centrally Stored Medications Records(CSMR). A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 During the visit, LPA collected the following documents: Administrator's certificate LIC 610E-Emergency Disaster Plan LIC 500 Liability Insurance Surety Bond LPA requested the following documents be sent to the Department by 10/03/2025: Deed/Control of Property Transportation Policy No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representative and a copy provided via email.

On 07/31/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management inspection visit in response to Redwood City - Building Inspection and Code Enforcement's notice of violation letters regarding their findings of building A and building C of their notices. LPA met with lead staff Susan Roquel. Administrator Ricardo Aban is out of the facility on leave. During today's visit LPA Vado toured the areas the notice indicates as the basement of building A and C. Basement of building C, rooms 26 through 30 as identified by Susan, are the rooms or area, as far as she knows that code enforcement identified as needing residents to move out of. Her understanding is that notices were provided to those residents and they are scheduled to move out of those rooms prior to the August 18, 2025 deadline given by code enforcement to vacate those rooms. There are currently 9 residents that reside in those rooms. At the time of today's inspection of those rooms, there are 8 residents present in those rooms while 1 are out in the hospital at this time. Per Susan, 3 of those residents are being relocated to other rooms within the facility while the remaining are being relocated out of the facility. She does not know the exact locations they are moving to at this time. Continued on next page... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 2 As for the basement of building A as identified in code enforcement's notice of violation, LPA toured these areas with Susan and observed all the rooms where staff resided before are now vacant. The rooms are being used as storage and contain items marked as "for donation". LPA observed 4 rooms that were previously labeled as staff rooms per the floor plan on file with the Department and what was used by the Redwood City Fire Department for fire clearance approval. Plus one additional area that was used as a staff room, totalling 5 rooms. All rooms are vacant based on observations made. The facility at this time still maintains an active fire clearance. LPA Vado is requesting the eviction notices provided to those 9 residents and their responsible parties as well as the possible relocation sites for the 6 that are relocating to other facilities. These items are requested to be received as soon as possible. No citations issued. Report is reviewed with Susan and a copy is provided on this day.

On 5/7/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management follow up visit in regards to a previous visit on 4/11/2025 regarding the immediate exclusion of a staff member, S1. LPA Calandra was greeted by Susan Roquel, HR Manager and explained the purpose of the visit. Per interview with Susan Roquel, HR Manager, S1 was terminated and is no longer an employee of the facility. According to Ms. Roquel, S1 has not returned to the facility. No deficiencies were cited during today's visit. An exit interview was conducted. A copy of the report was left with facility representative.

On 4/24/2025, Licensing Program Analyst (LPA) John Calandra arrived at the facility to conduct an unannounced case management visit to deliver amended report. LPA met with Administrator, Ricardo Aban and explained the purpose of today's visit. LPA informed Administrator that the LIC 9099 complaint report dated 04/03/2025 was in error marked as confidential. LPA Calandra explained that the report will now be marked as public and provided a copy of the Amended LIC 9099. No other changes to the report are being made. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with the facility representative.

On 4/16/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct an unnanounced Plan of Correction(POC) visit in regards to deficiencies cited during a Case Management visit on 4/11/2025. LPA Calandra was greeted by Susan Roquel, HR Manager and explained the purpose of the visit. Ricardo Aban, Executive Director arrived later during the visit. On 4/11/2025, LPA Calandra cited the facility for California Code of Regulations(CCR) 87468.1(a)(2) Personal Rights of all residents and CCR 87411: Personnel Requirements-General. The deficiencies have been corrected and cleared. Copies of the POC (Licensee stated they would provide additional trainings and rosters of staff present) were collected during the visit. The proof of correction letters were drafted and provided to the facility during the visit. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On 4/11/2025, Licensing Program Analyst(LPA) John Calandra met with administrator, Ricardo Aban and delivered letter of immediate exclusion for staff #1.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report was left at the facility.

Complaint alleges that facility staff punched resident in the face. According to the Reporting Party, R1 was attacked by staff on two separate occasions. Based on interviews and document, R1 was admitted to the hospital but no documentation of R1’s injuries could be obtained. Through the course of the investigation, it was learned that R1 had assaulted staff on one of these occasions. Additional details could not be obtained on either attack such as date, time, place, assailant, etc. Furthermore, it is unknown whether R1 was the assailant or victim as no injuries were sustained. Regarding the allegation, that facility staff do not dispense medications as prescribed, LPA reviewed documents and interviewed staff. According to the reporting party, the Facility did not get a resident’s medication on time and the resident had to wait 30 days. Reporting party states that one resident’s medication consistently went missing.Record reviews showed that medications were given on time and that no medications were missing for R1. Regarding the allegation, that facility staff do not ensure the facility is free of hazards, LPA toured the physical plant. According to the reporting party, the facility has electrical outlets with open wires, a ramp outside that has holes, and a bathroom has a towel rack where a grab bar should be installed. Based on observations, none of these hazards are present. Complaint alleges that there is no night supervision staff on duty that stays awake. Per Reporting Party, staff are not awake and asleep in the Executive Director’s office. Based on document review, the facility does have awake night supervision staff. Through interviews, LPA learned that the Administrator’s office is locked in the evenings and night supervision staff are unable to access it. The Agency has investigated the above allegations. The allegations are UNSUBSTANTIATED meaning that 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. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

The Department has investigated the complaint alleging that resident was financially abused. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On October 31, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 2:45PM to conduct a Plan of Correction (POC) visit to stop Civil Penalties assessed on October 21, 2024 regarding complaint # 14-AS-20241015090138 and clear the deficiencies. LPA Calandra was greeted by Susan Roquel HR Manager and explained the purpose of the visit. Ricardo Aban, Executive Director arrived later during the visit. No deficiencies were cited during today's visit. An exit interview was conducted and this report was reviewed with Ricardo Aban, Executive Director and a copy along with the POC clearance letters left at the facility.

On October 21, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management visit to deliver a copy of amended report from 10/18/24 and issue and immediate $500.00 civil penalty in relation to complaint control: 14-AS-20241015090138 for facility violating California Code of Regulation (CCR) 87468.1 Personal Rights of Residents in All Facilities. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. Report is reviewed with Administrator and a copy is provided. A copy of the civil penalty and appeal rights is also provided.

On October 21, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced plan of correction visit in response to a visit that was conducted on 10/18/2024. LPA met with Administrator, Ricardo Aban and explained the purpose of the visit. On October 18, 2024, LPA Charitra conducted a complaint visit and issued a deficiency for CCR 87303(a) Maintenance and Operation. The due date for this deficiency was 10/19/2024. In addition, LPA conducted an unannounced case management visit for CCR 87205(a) Accountability of Licensee Governing Body and 87405(h)(1) Administrator- Qualifications and Duties. The due date for these deficiencies were 10/19/2024. 87205 - Accountability of Licensee Governing Body – Regarding this POC you submitted, please provide clarification regarding the following: Since using the same exterminator as used previous, please explain how facility will eradicate bed bugs for entire facility. The administrator will provide detailed exterminator contract services being provided at facility with specifics in regard to: dates of services, how frequent, duration, areas covered, how residents are and will be affected, how will they be accommodated, how will residents and their families be notified? How will facility ensure the safety of residents during extermination services? What are the “bed bug detection tools being referenced to and in what manner being used for specifically? 87405 Administrator-Qualifications and Duties - Proof that the pest control company he hires is licensed, and perhaps a estimate or written outline from the exterminator on their letterhead what their plan is for treating bed bugs. Who is providing the staff training and following facility’s established bed bug management policy – what is the policy? What specifically are the staff going to be trained in and who is providing the training? When will the training be conducted? How often? Will it be logged and sent to licensing? Transparent communication with residents and their families; how will this be done? What method and how frequent? He talks about cost efficiency. What does that mean in terms of the pest control services? How will you be in compliance with health department guidelines and please specify what those are? What are the alternate accommodations being referred to for residents in the event that is needed? 87303 Maintenance and Operation - How often will CCL be notified and specifically state how you will ensure you will be in compliance with the regulation section – maintenance and operation. Provide a written estimate from an exterminator company that specifies the services covered; frequency of extermination services; if there will be a possibility that residents may have to relocate due to harmful toxics during fumigation, what and where does the administrator accommodate them; how often he will notify CCL, i.e. weekly, monthly, etc and for how long? Finally, how will you ensure compliance with this regulation? (Cont. to 809C) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Due to the citation 87303(a) Maintenance and Operation, not being corrected by 10/19/24 a civil penalty is being assessed in the amount of $100 a day from 10/20/24-10/21/24 and will continue to accrue until corrected. Due to the citation 87205(a) Accountability of Licensee Governing Body, not being corrected by 10/19/24 a civil penalty is being assessed in the amount of $100 a day from 10/20/24-10/21/24 and will continue to accrue until corrected. Due to the citation 87405(h)(1) Administrator- Qualifications and Duties not being corrected by 10/19/24 a civil penalty is being assessed in the amount of $100 a day from 10/20/24-10/21/24 and will continue to accrue until corrected. Report is reviewed with Administrator. A copy of the report is provided. A copy of the civil penalties is provided with appeal rights.

On September 25, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility to complete the unannounced 1-year required Annual Inspection. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit. LPA Calandra reviewed 6 resident files. All were observed to be complete. A review of the facility first aid kit showed that it had all the required components: a current edition of the first aid manual approved by the American Red Cross, sterile first aid dressing, bandages, scissors, tweezers. LPAs also reviewed Personal and Incidental (P&I) monies kept at the facility. All P&I money kept at the facility matches the facility records. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On September 20, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:35 AM, to conduct a Case Management visit regarding an incident that occurred on August 29, 2024, in which a resident attacked another resident. LPA Calandra was greeted by Susan Roquel, HR Manager and explained the purpose of the visit. Ricardo Aban, Executive Director arrived later during the visit. LPA Calandra requested and reviewed the following documents: -LIC 602: Physician's reports for both residents involved -Most up to date LIC 500: Personnel Summary Report(lists all staff working at the facility and their shifts) -Staff meeting sign in sheet for latest training post incident -Dementia Care Plan of Operation LPA Calandra also interviewed staff. Based on these interviews and review of the facility updated LIC 500, the Dementia Care Plan, etc., LPA found that the facility was following their own policies/procedures and not in violation of Title 22 or the Health and Safety Code. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On September 20, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 1:00 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 3 story building with 54 bedrooms and 21 bathrooms, staff rooms, lounge, dining room, kitchen, front lobby, beauty salon, and medication room. All bedrooms were observed to have the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. Hot water temperature was measured within the required range of 105-120 degrees Fahrenheit. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on February 26, 2024 The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. All sharp objects, poisons, and cleaning supplies were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 6 staff files. All were observed to be complete. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. No deficiencies were cited during today's visit. The Annual inspection will be completed at a later date. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On September 4, 2024, Licensing Program Analysts(LPAs) John Calandra and Kiran Jain arrived at the facility to deliver an Amended report that was written on August 1, 2024. LPAs Calandra and Jain were greeted by Quennie Ramos, Medtech and Caregiver. Susan Roquel, HR Manager and Ricardo Aban, Executive Director joined the visit later. An exit interview was conducted. This report was reviewed with Susan Roquel, HR Manager and a copy of the report left at the facility.

On August 30, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:30 AM to conduct a Case Management visit to follow up on an incident that occurred on July 25, 2024 in which it was noticed that R1 had blood coming from R1's head. LPA Calandra was greeted by Susan Roquel, HR Manager and explained the purpose of the visit. LPA Calandra interviewed Susan Roquel, HR Manager. As of the date of the interview, the facility is still investigating the incident. An exit interview was conducted. This report was reviewed with Susan Roquel, HR Manager and a copy of the report left at the facility.

On August 30, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Plan of Correction clearance visit in regards to a citation delivered on August 30, 2024. As of today, August 30, 2024, the Deficiency is considered cleared. An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility.

On 02/06/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident visit regarding an incident report received on 02/05/2024 and discussed with administrator Ricardo on the same day. R1 left the facility on 02/04/2024 around 5:00pm but didn't return back to the facility by 7:30pm so the facility began to search the neighborhood by car as the weather was bad due to the storm that hit the area. Staff physically went to the local hospitals, hotels, and the church R1 regularly attended every Sunday. By 10pm R1 had not returned to the facility so the facility filed a missing person report with the police department on the same day. On 02/05/2024 by around 11:00am the police department and coroners office visited the facility and informed them that R1 had passed away near the facility. R1 was struck by a vehicle that did not stop at a crosswalk during the stormy weather and the traffic lights were out due to power outages in the area. The facility did not suffer from a power outage. Staff was able to positively identify that it was R1 per the physical description provided to the facility. Administrator provided LPA with resident documents on this day and discussed the timeline of events and indicated that responsible parties were notified,the Department, including the local Long Term Care Ombudsman as well. Administrator stated the police department and coroners office did not provide report numbers or death reports to the facility at their time of visit on 02/05/2024 as the death is still under investigation. Report is reviewed with administrator Ricardo.

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Pre-Licensing Inspection visit. LPA met with administrator, Ricardo Aban an explained the purpose of the visit. This facility is currently licensed and has residents in place. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA observed the indoor and the outdoor passageways are free of obstruction. This is a single level facility. The facility has 52 resident rooms of which 4 are private rooms. All bedrooms were equipped with required furniture. LPA observed several resident rooms at random and all are observed with required furniture and lighting. bathrooms to be odor-free and in good repair. Non-skid mats were observed to be present in three bathrooms in resident rooms. Water temperatures throughout the facility was measured at 116F in resident bathrooms on each floor. On the ground floor there are staff rooms and private dining area for staff adjacent to the food storage room. Living room and dining room are observed to be comfortable, spacious and free from any tripping hazards. Temperature through out the facility is comfortable and is maintained throughout the facility. Facility lighting is sufficient for comfort and safety. LPA toured the kitchen area and observed it to be clean and in good repair. Facility refrigerator temperatures are within regulatory standards. Temperatures are checked and signed off by staff. These records are posted on the refrigerators observed. Medication room is observed to be locked on the third floor. Medication carts used to hold medications are double locked. First aid kit is observed as in place. Dry goods/emergency food supplies are stored on the ground floor. Chemicals and toxins were observed to be in a janitorial closet with a cleaning cart also on the ground floor away from the food supplies. It is observed as locked and inaccessible to residents. Laundry room is observed in good repair with multiple washing machines and dryers in place. Extra linens are observed to be present in a third floor linen closet. A random sampling of resident and staff records is conducted. MAR is observed as current. All fire prevention systems such as sprinklers, smoke detectors, carbon monoxide detectors, Ansul system, fire extinguishers, and fire control panel have been inspected as in in place. Fire panel is observed as inspected on 08/08/2022 expiring on 08/2027. Facility is clean and in good repair based on observations made today. Facility is in compliance with Title 22 regulations. No citations are issued. LPA is recommending licensure of the facility. Component III is conducted and report is reviewed with Ricardo. A copy of report is provided.

Facility Type: RCFE Application Type: CHOW Capacity: 88 Census (if any clients in care): 61 COMP II Participants: Licensee, John Lee ; Administrator, Lulin Wu ; Executive Director, Ricardo Aban Interview Method: Telephone interview On 3/15/2023, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness