Facility Evaluation Report

An informal office meeting was held today with Varenna at Fountaingrove, Gallaher Senior Living Management LLC, 4/22/26, in the Santa Rosa Regional Office. Present in the meeting were the following licensing staff: Regional Manager, Carla Martinez, Licensing Program Manager, Bethany Moellers, and Licensing Program Analyst, Dina Alviso.

Santa Rosa Fire Department (SRFD) attendees: Fire Marshall, Mike Johnson, and Assistant Fire Marshall, Kemplen Robbins.

Varenna attendees as follows: Page Ensor, CEO, Gallaher Signature Living, Douglas Blake, Executive Director/Administrator, Gallaher Signature Living, Jennifer Haney, L.V.N., Wellness Navigator, Gallaher Signature Living, and Lori Ferguson, Partner, Hanson Bridgett

This meeting is being conducted to discuss concerns identified by the Licensing Agency in recent complaint investigations, 21-AS-20260130125255 and 21-AS-20260223152740. The following are concerns that have been identified during the complaint investigations:

Facility has not followed through with obtaining required updated medical assessment/medical visits for medical updates on all residents in care, ensuring reappraisals are completed for all residents, as required.

Facility has not followed through with ensuring when residents are observed with any changes in physical health conditions, etc, observations are addressed appropriately, per regulations.

.Facility’s third, 3 rd , floor is fire cleared, by the SRFD, for ambulatory only residents; The facility has residents that are non-ambulatory residing on the third floor, which is a violation of the fire clearance approval. This deficiency was cited, 3/30/26, which included an immediate civil penalty assessment.