Senior Care Records.

Complaint Investigation Report

Sundance Villa INC., Novato02/21/2025Licence 216803333

Census3
Date signed02/21/2025 03:08:41 PM
The inspector’s account

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