Inspection Reports for
The Trousdale

1600 Trousdale Dr, Burlingame, CA 94010, CA, 94010

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11 Reports

2021–2025

Inspection Report — Dec 10, 2025

Annual Inspection
Date: Dec 10, 2025

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility operations.

Findings
The facility was found to be in compliance with no deficiencies cited. Medications, chemicals, and sharps were secured, food supplies were adequate, and fire drill records were sufficient. Hot water temperatures were within acceptable ranges and resident and staff files were reviewed.

Report Facts
Resident files reviewed: 6 Staff files reviewed: 5 Hot water temperature range: 108 Hot water temperature range: 117 Perishable food supply: 2 Nonperishable food supply: 7

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the inspection and authored the report
Anne AquinoResident Care DirectorMet with Licensing Program Analyst during inspection and assisted with facility tour
Arno ManteiroBusiness Office ManagerMet with Licensing Program Analyst upon entry
Phil AltmanVice President of OperationsAssisted with the inspection and discussed report findings

Inspection Report — May 14, 2025

Complaint Investigation
Date: May 14, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations of staff mismanaging a resident's medication and not ensuring timely medication refills.

Complaint Details
The complaint involved two allegations: staff mismanaging resident's medication and failure to ensure timely medication refills. Both allegations were found unsubstantiated after investigation.
Findings
The investigation found the allegation of medication mismanagement unsubstantiated as staff followed procedures and stayed with the resident during medication administration. The allegation regarding untimely medication refills was also unsubstantiated because the resident's responsible party manages the medications and courtesy calls were made as required.

Report Facts

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the complaint investigation
April CowanSupervisorSupervisor overseeing the investigation
Anne AquinoMemory Care DirectorMet with Licensing Program Analyst during investigation

Inspection Report — Jan 14, 2025

Complaint Investigation
Date: Jan 14, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not ensure a resident took medication as prescribed and that a resident sustained injuries during a witnessed fall due to staff neglect.

Complaint Details
The complaint investigation was substantiated. Allegations included failure to ensure medication administration and neglect leading to resident injury from a fall. The facility was found responsible for both issues.
Findings
The investigation substantiated that facility staff did not assist residents with their medications as required and failed to ensure a non-skid shower mat was placed on the floor to prevent falls, despite requests from the resident's responsible party. These failures posed immediate health and safety risks to residents.

Citations (2)
CCR 87465(a)(4) requires facilities to assist residents with self-administered medications as needed. The facility did not assist residents R1 and R2 with their medications, posing immediate health and safety risks.
CCR 87303(a) requires the facility to be clean, safe, sanitary, and in good repair. The facility failed to ensure R1's non-skid shower mat was placed on the floor as requested, posing an immediate health and safety risk.
Report Facts
Plan of Correction Due Date: Jan 15, 2025

Employees mentioned
NameTitleContext
Murial HanLicensing Program AnalystConducted the complaint investigation
April CowanSupervisorSupervisor overseeing the investigation
Sylvia ChuAdministratorFacility administrator involved in investigation findings
Anne AquinoMemory Care DirectorInterviewed during investigation and involved in findings

Inspection Report — Dec 3, 2024

Annual Inspection
Date: Dec 3, 2024

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and facility operations.

Findings
No deficiencies were cited during the inspection. The facility was found to have proper safety measures, adequate food supplies, and secure medication storage.

Report Facts
Days of perishables observed: 2 Days of nonperishable foods observed: 7 Fire extinguisher last service date: Jul 31, 2024 Resident files reviewed: 5 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Sylvia ChuAdministratorMet during inspection and discussed report
Murial HanLicensing Program AnalystConducted the inspection
Arno ManteiroBusiness Office ManagerMet during inspection
Anne AquinoMemory Care DirectorProvided tour and discussed report

Inspection Report — Dec 3, 2024

Complaint Investigation
Date: Dec 3, 2024

Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident reported by the facility involving an alleged resident altercation resulting in injury.

Complaint Details
The visit was triggered by a complaint regarding an incident where resident #1 was reportedly hit by resident #2, resulting in a head injury. The incident was unwitnessed by staff. The facility reported the incident to the Community Care Licensing, Ombudsman, and Local Law Enforcement. No deficiencies were cited and the complaint was not substantiated.
Findings
The facility reported that resident #1 was allegedly hit by resident #2, causing a head injury. Both residents were observed and reported to be doing well, with no deficiencies cited during the visit.

Employees mentioned
NameTitleContext
Sylvia ChuAdministratorMet during the inspection and involved in reporting and discussing the incident.
Murial HanLicensing Program AnalystConducted the unannounced Case Management visit.
Arno ManteiroBusiness Office ManagerMet during the inspection and involved in explaining the purpose of the visit.
Anne AquinoMemory Care DirectorMet during the inspection and reported on residents' status.

Inspection Report — Jun 19, 2024

Complaint Investigation
Date: Jun 19, 2024

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff mismanaged resident medication.

Complaint Details
The complaint alleged staff mismanaged resident medication, including medication found in the resident's room and improper vaccine administration. The allegations were substantiated based on interviews, record reviews, and observations.
Findings
The investigation substantiated that medication was found in a resident's room despite policies requiring central storage, and that the resident received two vaccine doses on the same day without proper consent or supervision.

Citations (2)
CCR 87465(h)(2) requires centrally stored medicines to be kept in a safe and locked place inaccessible to residents. Medication was found in the resident's room, posing immediate health and safety risks.
CCR 87464(f)(1) requires care and supervision including ensuring consent prior to vaccination. No staff supervision was present when the resident received second doses of flu and COVID-19 vaccines without consent, posing immediate health and safety risks.
Report Facts
Deficiencies cited: 2

Inspection Report — Jan 9, 2024

Annual Inspection
Date: Jan 9, 2024

Visit Reason
The visit was an unannounced annual continuation inspection conducted to follow up on the annual required inspection performed on December 27, 2023.

Findings
The facility was generally clean and well-maintained with adequate temperatures in resident apartments. However, one staff file lacked initial training records required for medication self-administration assistance, resulting in a cited deficiency.

Citations (1)
HSC 1569.69(a)(1): Staff member did not have initial training records to prove completion of required 24 hours of training for assisting residents with self-administration of medications, posing a potential health and safety risk.
Report Facts
Plan of Correction Due Date: Jan 16, 2024

Employees mentioned
NameTitleContext
Sylvia ChuAdministratorAssisted with the inspection and was involved in the plan of correction
Murial HanLicensing EvaluatorConducted the inspection and authored the report

Inspection Report — Dec 27, 2023

Complaint Investigation
Date: Dec 27, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 10/30/2023 regarding resident care and facility practices.

Complaint Details
The complaint investigation addressed multiple allegations including failure to follow care plan regarding alcohol, neglect causing infection, unauthorized apartment transfer, and failure to safeguard resident property. The alcohol-related allegation was substantiated; the infection and transfer allegations were unsubstantiated; the property allegation was unfounded.
Findings
The investigation substantiated that the facility failed to follow a resident's physician's order prohibiting alcohol, serving the resident alcohol despite the order. Other allegations regarding neglect causing infection, unauthorized apartment transfer, and failure to safeguard resident property were unsubstantiated or unfounded.

Citations (1)
CCR 87468.1(a)(2) Personal Rights of Residents: The facility did not follow resident #1's physician's order prohibiting alcohol and served alcohol until a second order was obtained, posing an immediate health risk.
Report Facts
Plan of Correction Due Date: Dec 28, 2023

Employees mentioned
NameTitleContext
Sylvia ChuAdministratorNamed in relation to investigation findings and interviews
Murial HanLicensing Program AnalystConducted the complaint investigation
Cara SmithSupervisorSupervisor overseeing the investigation

Inspection Report — Dec 27, 2023

Annual Inspection
Date: Dec 27, 2023

Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing regulations and facility safety standards.

Findings
The inspection found that the facility had unlocked chemicals, toxins, and sharps accessible to residents in the memory care unit, expired food items in the kitchen, and a malfunctioning wanderguard device for a resident. Other safety equipment such as smoke detectors and fire extinguishers were in place and functioning.

Citations (3)
CCR 87309(a): Toxins, chemicals, and sharps were unlocked and accessible to residents in the Memory Care unit, posing an immediate health and safety risk.
CCR 87555(b)(8): Expired food items were observed in the kitchen, posing an immediate health and safety risk to residents.
CCR 87468.1(a)(2): Resident #1's wanderguard device did not emit an audible alert at the memory care unit entrance, posing an immediate health and safety risk.
Report Facts
Fire extinguisher last serviced: Jul 13, 2023 Hot water temperature range: 105-111 Perishable food observed: 2 Nonperishable food observed: 7

Inspection Report — Jul 17, 2023

Date: Jul 17, 2023

Visit Reason
The visit was conducted as a Case Management - Other type in response to a Report of Suspected Abuse dated 5/22/2023 regarding client #1 and a private companion.

Complaint Details
The visit was triggered by a Report of Suspected Abuse dated 5/22/2023 involving client #1 and a private companion. The private companion was removed from the facility on 5/23/2023 and later allowed to resume companionship on 5/31/2023. The complaint is related to lack of criminal record clearance and acknowledgement forms for the private companion.
Findings
The private companion to client #1 was removed and later allowed to resume companionship. The private companion did not have criminal record clearance associated with the facility and did not sign required acknowledgements. A deficiency was cited for failure to ensure criminal record clearance for persons with client contact.

Citations (1)
CCR 87355(e)(2): Staff member who is a private companion to client #1 does not have criminal record clearance associated with the facility. Licensee failed to ensure persons with client contact maintain criminal record clearance and association with the facility.
Report Facts
Deficiency cited: 1

Employees mentioned
NameTitleContext
Audrey JeungLicensing EvaluatorConducted the inspection and cited the deficiency
Cara SmithSupervisorSupervisor overseeing the inspection

Inspection Report — Dec 28, 2021

Annual Inspection
Date: Dec 28, 2021

Visit Reason
The visit was a required unannounced annual inspection to evaluate compliance with licensing regulations and facility operations.

Findings
No deficiencies of the California Code of Regulations, Title 22 were cited. The facility was found to have adequate infection control practices, proper storage of medications and toxins, and sufficient emergency preparedness.

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