125000592-9-9-2025-21-AS-BMOS-DLLNK5-20250917103122

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 125000592
Report Date: 09/09/2025
Date Signed: 09/09/2025 02:26:25 PM

Unsubstantiated

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
06/12/2025 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20250612142910

FACILITY NAME:	RENAISSANCE AT TIMBER RIDGE		FACILITY NUMBER:	125000592
ADMINISTRATOR:	FARNUM, LARONA		FACILITY TYPE:	740
ADDRESS:	2780 TIMBER RIDGE LANE		TELEPHONE:	(707) 443-3000
CITY:	EUREKA	STATE: CA	ZIP CODE:	95503
CAPACITY:	22	CENSUS: 21	DATE:	09/09/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Larona Farnum		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Facility failed to arrange for medical care

INVESTIGATION FINDINGS:

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At approximately 1:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Administrator Larona Farnum and reviewed records. Based on records reviewed and interviews conducted, Resident, R1, was at a scheduled medical visit when they were informed the physician was out unexpectedly. The physician office staff suggested R1 be seen at the emergency room, ER, or return later to the Urgent Care. Due to lack of available staff and wait times in the ER, facility staff did not take R1 to ER and returned later with R1 to be seen at the Urgent Care. Urgent care staff told R1's escort there were too many people waiting to be seen and they would not be able to see R1 that day. Licensee contacted Hospice the following day for a consult and R1 was admitted to Hospice.

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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

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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