Complaint Investigation Report

126801366-4-30-2026-21-AS-KMOA-DVKTL2-20260701144850

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

03/20/2026 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20260320154104

At approximately 1:20PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facililty unannounced to open an investigation into the above allegation. LPA met with Executive Director David Uballez, interviewed staff and received copies of documents. Based on interviews conducted and records reviewed, LPA was not able to find evidence to support the above allegaitons. Residents have the right to refuse to get out of bed or to refuse meals. Interviews conducted showed resident, R1, comes out of their room for meals and will stay in the common area until staff observe R1 becoming unsafe. R1 has been declining and having more falls. Staff encourage R1 to join activities and socialize, but R1 expresses their displeasure with spending time with others. Interviews reveiled that items go missing from resident rooms on a routine basis and the item will be found elsewhere. Residents wander freely and will pick things up in one location and place them somewhere else. Staff will return the items to the proper location when they discover them. LPA reviewed resident records and observed R1 has not had significant weight loss since moving to the facility. Staff monitor resident weights monthly and report to the physician when warranted.

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, therefore the allegations are Unsubstantiated.