Complaint Investigation Report

216803577-2-5-2026-21-AS-KMOA-DRFM8B-20260219082251

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

12/31/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20251231112418

Staff is denying a client from using the restroom

On 02/05/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings. LPA arrived and met with Administrator, Sheri Lott. During the course of the investigation, LPA reviewed records, conducted interviews, and made observations.

Compliant alleges, staff yelled at clients in care and staff is denying a client from using the restroom.

Based on department documentation and interviews, the following determination has been made. Interviews conducted with three out of five staff, revealed that they have heard staff yelling at clients. Three out of four staff interviewed revealed that staff will lock the bathroom door to prevent client (C1) from using the bathroom as C1 will get feces and blood over the bathroom.

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