Complaint Investigation Report

486803484-6-25-2025-21-AS-VBEI-DJEPZW-20250709114609

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

06/23/2025 and conducted by Evaluator Elias Magdaleno

COMPLAINT CONTROL NUMBER: 21-AS-20250623170032

Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to initiate complaint investigation and deliver findings regarding the allegation listed above and met with Shelley Reyes, Administrator.

During visit LPA observed that facilities A/C unit that controls southern corridor, dining room, and activity room is not functional. Interviews with staff and Administrator indicate that A/C has been broken for a few months and had intermittent functionality summer of 2024. According to Administrator, licensee purchased a new unit a few weeks ago, however, it was the wrong unit. During visit, Administrator received email correspondence that the correct unit will be installed July 1st. Based upon the observations and interviews, there is preponderance of evidence to prove that the allegation(s) have/has been SUBSTANTIATED and are/is valid.

Deficiency cited on LIC9099-D, per Title 22 Regulations, Division 6.

Exit interview conducted. Appeal rights given. Copy of report discussed and provided to Administrator whose signature on form confirms receipt of document(s).