Senior Care Records.

Complaint Investigation Report

Windsong of Sonoma, Petaluma06/03/2024Licence 496804150

Census77
Date signed06/04/2024 11:53:42 AM
The inspector’s account

496804150-6-4-2024-21-AS-BMOS-D6DNEU-20240619102431

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

05/28/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240528162916

Licensing Program Analyst Leibert arrives unannounced for the purpose of investigating the above captioned complaint allegation. LPA has taken a statement from the Complainant on 5/31/2024 and from facility staff this date. LPA has reviewed pertinent documents. Facility staff deny retailiating against the Complainant and indicate the Complainant is the subject of an eviction proceedure which has been issued in accordance with current law and Title Twenty-Two regulations. On May 31, 2021 Complainant indicated to CCL staff that Complainant did not want the complaint to be investigated. When asked if Complainant did, or did not, have a complaint with the facility, complainant responded, "No." Based upon the statements made and documents reviwed, we have determined that the allegation that the facility is retaliating against resident is false and without a reasonable basis. Therefore, the complaint is UNFOUNDED. The complaint is DISMISSED.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction