Complaint Investigation Report

486803921-7-29-2025-21-AS-BMOS-DKFQVX-20250811123103

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

07/22/2025 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20250722102044

At approximately 10:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegation. LPA met with Executive Director Jasmine Seiffert and reviewed records. Based on records reviewed and interviews conducted, Resident (R1) was issued an eviction notice on 06/19/2025 for refusing care and being aggressive. LPA reviewed R1's care plan and observed facility has been making updates as needed per regulation. Based on records reviewed, R1 has been refusing care and not allowing staff into their room. Facility has taken action to ensure the well-being of R1 by issuing a 30 day eviction. Facility staff have continued to attempt to provide care for R1 when they allow it.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.