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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126801366
Report Date: 05/12/2025
Date Signed: 05/12/2025 01:50:32 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
05/08/2025 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20250508100625
FACILITY NAME:TIMBER RIDGE AT MCKINLEYVILLEFACILITY NUMBER:
126801366
ADMINISTRATOR:DAVID UBALLEZFACILITY TYPE:
740
ADDRESS:1400 NURSERY WAYTELEPHONE:
(707) 839-9100
CITY:MCKINLEYVILLESTATE: CAZIP CODE:
95519
CAPACITY:108CENSUS: 69DATE:
05/12/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Jennifer HallTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff allow the residents to be soiled while in care
Staff are not affording the residents privacy while showering
Staff behavior poses as a risk to the residents
Staff are stealing from the residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegation. LPA met with Administrator Jennifer Hall, reviewed records and interviewed residents and staff. Based on records reviewed and interviews conducted, LPA was not able to find evidence to support the above allegations. Staff and Residents interviewed were not able to provide LPA with any supporting evidence that residents are left in a soiled state for long. Residents expressed their apprieciation for the promptness of the staff in tending to their needs. Staff interviewed stated their job is to respond timely to resident calls for assistance and if they observe a resident in need, they stop to assist the resident. Based on interviews conducted, staff are not aware of anyone violating residents privacy while showering. Staff interviewed were not aware of any staff member arriving at the facility intoxicated or consuming alcohol on the job. Based on records reviewed and interviews conducted, LPA was not able to find evidence of staff stealing items from residents.
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: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2025
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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