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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 121373153
Report Date: 02/11/2025
Date Signed: 02/11/2025 03:09:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2025 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20250206140441
FACILITY NAME:AGUILAR MANORFACILITY NUMBER:
121373153
ADMINISTRATOR:AGUILAR, STIIVIFACILITY TYPE:
740
ADDRESS:6433 EGGERT ROADTELEPHONE:
(707) 443-5160
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:15CENSUS: 10DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Stiivi AguilarTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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9
Staff did not maintain sufficient foods at the facility for residents in care
Staff did not ensure the facility was kept free of pests
Staff did not ensure a comfortable temperature was maintained for residents in care
Facility is malodorous
INVESTIGATION FINDINGS:
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At approximately 2:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegations. LPA met with Administrator Stiivi Aguilar, toured the building and interviewed residents. LPA observed food stores in the facility which met requirements. Facility pantry is stocked and the kitchen refrigerators and freezers were full. LPA spoke with residents about the process to get snacks. LPA was told they only need to ask and snacks are provided. LPA spoke with Administrator about the various pests. Administrator said the issue comes and goes throughout the year. He said when pests are observed, they put out traps. LPA did not observed evidence of pests during this visit. Upon arrival, LPA observed the thermostate inside the facility was set to 70 degrees. LPA verified with a thermometer and found the temperature to be 70.5 degrees. LPA observed there was a musty odor when the heater was on during this visit. Administrator removed the air filters for the heater and found the filters were in need of changing. The filters were removed during the visit and the odor disappeared.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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