Complaint Investigation Report
216803333-2-21-2025-21-AS-KMOA-DHDRXJ-20250606132446
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
02/14/2025 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20250214163627
On 02/21/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Administrator, Leslie Wilson. During the investigation, LPA conducted interviews with staff and made observations.
Compliant alleges, maintenance and operation. Report was received 02/14/2025, alleged facility is not free of clutter in the living room and kitchen area and facility being too cold.
Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 1, is being cited on the attached LIC 9099D. Appeal rights given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction