Complaint Investigation Report

496804150-4-17-2026-21-AS-KMOA-DVTLH7-20260709084551

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

04/10/2026 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20260410125527

Facility did not meet with resident or their responsible party when updating reappraisal

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 Lauren Cottman and Resident Care Director Alicia Dixon and reviewed records. Based on records reviewed and interviews conducted, LPA found evidence that the facility representative did meet with resident, R1, in regards to their appraisal. Based on records reviewed, on 02/24/2026, the Resident Care Coordinator Alicia Dixon met with R1 to conduct a medication Self-Administration assessment. The updated appraisal was created from that meeting. LPA reviewed resident records and observed R1 was their own responsible party. Based on these findings, the facility followed regulation 87467, Resident Participation in Decision making and 87463, Reappraisals, by conducting a meeting with R1.

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.