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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 121373153
Report Date: 11/20/2025
Date Signed: 11/20/2025 12:00:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 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
11/18/2025 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20251118130202
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: DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Stiivi AguilarTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff did not ensure that a comfortable temperature was maintained in the facility for residents in care
INVESTIGATION FINDINGS:
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At approximatley 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with Administrator Stiivi Aguilar and toured the facility. LPA used the Department issued thermometer and rested it on the dining room table upon entry to the facility. At approximately 11:20AM, LPA observed the temperature inside the building to be 67.8 degrees. LPA received information that the resident rooms have been as low as 56 degrees recently. LPA discussed with the Administrator the requirements for the temperature inside the building and requested daily temperature logs be kept to enusre the temperature is at least 68 degrees.
Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
This report was reviewed with Stiivi Aguilar and Appeal rights were given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 21-AS-20251118130202
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: AGUILAR MANOR
FACILITY NUMBER: 121373153
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2025
Section Cited
CCR
87303(b)(1)
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87303 Maintenance and Operation:(b) A comfortable temperature for residents shall be maintained at all times.(1)The facility shall heat rooms that residents occupy to a minimum of 68 degree F, (20 degrees C). This requirement is not met as evidenced by: Based on observation, Licensee did not
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Licensee adjusted the heater controls during visit and agrees to keep a log of morning and evening temperatures inside the home by taking a photograph of the thermometer. Temperature log will be maintained on an ongoing basis through the winter. POC cleared during visit.
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ensure the temperature was at least 68 degrees in rooms occupied by Residents. This poses an immediate Health, Safety or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
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