Complaint Investigation Report

125000579-6-13-2025-21-AS-CMAZ-DHRW2P-20250618165436

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/05/2025 and conducted by Evaluator Kimberley Mota

COMPLAINT CONTROL NUMBER: 21-AS-20250605110719

Facility failed to arrange for medical care

Licensing Program Manager (LPM) Mota arrived unannounced for the purpose of initiating a complaint investigation regarding the above allegation and met with Haylee Campbell, Med Tech.

The department had left messages with the reporting party on June 5, 2025, and June 12, 2025, with no return calls. During interviews with the Administrator on June 12, 2025, it was discovered that the Resident (R1) does not reside at Timber Ridge at Eureka but does reside at Renaissance at Timber Ridge (Facility #125000592).

This agency has investigated the complaint alleging facility failed to arrange for medical care. 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.