Complaint Investigation Report

216804066-11-4-2025-21-AS-CMAZ-DNQS7N-20251124123748

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

09/09/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20250909154224

Staff are not able to answer call buttons in a timely manner

On 11/04/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Executive Director, Jose Acumabig. During the investigation, LPA conducted interviews, reviewed documents and made observations.

During the course of the investigation, Document review of R1s alarm response report shows on 06/30/2025, R1 called for assistance at 4:24AM and didn’t get answered until 4:43AM, a total of 19 minutes. On 08/26/2025, R1 called for assistance at 5:05AM and didn’t receive assistance until 5:44AM, a total of 39 minutes. On 09/16/2025, R1 called for assistance at 5:27AM and didn’t receive assistance until 6:20AM, a total of 53 minutes.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED. California Code of Regulations, Division 6, Chapter1 is being cited on the attached LIC 9099D. Appeal rights given.