Complaint Investigation Report

486803806-3-18-2025-21-AS-CMAZ-DEWTUN-20250319150238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/07/2025 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20250107102659

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Licensee did not properly notify resident or representative of rate increase.

Licensee did not ensure facility cleanliness was maintained.

Licensing Program Analyst Leibert arrived unannounced and met with Administrator for the purpose of delivering findings on this complaint. During the course of the investigation, statements were taken, documents reviewed and unannounced site visits made to facility. The following determinations are made: LPA observed copies of documents on file for Resident (R1), dated 6/28/2024; The documents observed provide notice of rate increase and level of care methodology which became effective 09/01/2024; The documents show they were provided to R1; This was also confirmed during interviews with the Administrator; The documents observed comply with regulations governing the rate increase notifications; Records in facility file are ambiguous with regards to the status of a Representative for R1 and LPA has not been able to verify a POA for R1. Unannounced visits for this complaint on 1/13, 2/11, 2/21/25 and the annual inspection of 2/20/25 by LPA Hansen found facility to be clean and sanitary, including bathrooms and dining room. Although the allegations may be true, base on statements, documents, and observations, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.