Facility Evaluation Report

Licensing Program Analysts (LPAs), Farhaan Sarangi and Christi Coppo arrived unannounced at Yerba Buena Residential Care Home for the purpose of conducting a Case Management-Other inspection. LPAs were greeted at the door by Caregiver Marbella Matos, and was granted access into the facility. Also participating on this Case Management-Other inspection is Assistant Fire Marshall, Kemplen Robbins from City of Santa Rosa Fire Department and Senior Code Enforcement Officer, Cassidy Anderson from the City of Santa Rosa.

LPAs, Assistant Fire Marshall and Senior Code Enforcement Officer toured the facility. During the tour, LPAs, Assistant Fire Marshall and Senior Code Enforcement Officer observed a structure in the back of the facility that is NOT STD 850 approved by the Fire Department (See LIC 809D and Civil Penalty) . Senior Code Enforcement Officer has condemned the structure in the back of the facility and ordered the occupants/caregivers to vacate the structure. Furthermore, a document provided by the licensee was emailed on August 2, 2023 to the LPA reflecting a City of Santa Rosa Fire Department Inspection report that had falsified verbiage regarding the structure clearance (See LIC 809D).

The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Civil Penalty assessed in the amount of $500.00 (See LIC 421M dated for August 21, 2023) Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in additional civil penalties. Exit interview conducted with the Administrator and appeal rights provided.