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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126803939
Report Date: 03/03/2026
Date Signed: 03/03/2026 11:38:18 AM

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
01/25/2026 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20260125210427
FACILITY NAME:ESPECIALLY YOU ASSISTED LIVING, INC.FACILITY NUMBER:
126803939
ADMINISTRATOR:POPA-ROOP, NADIAFACILITY TYPE:
740
ADDRESS:12 HENDERSON STREETTELEPHONE:
(707) 443-8838
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:15CENSUS: 10DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nadia RoopTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff left resident's medication accessible to another resident in care
Staff do not ensure that resident's prescriptions are taken as prescribed
INVESTIGATION FINDINGS:
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At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Nadia Roop and reviewed records. Based on records reviewed and interviews conducted, LPA found evidence to support the allegations listed above. The investigation revealed, staff left a small cup of medication containing pills in a different residents room. The cup was discovered by a residents family member and given to staff. Based on records reviewed, the morning medication on 01/23/2026 was documented as given, but interviews conducted showed R1 refused the medications and they were put in a plastic baggy and given to the bus driver to take to the day program. Staff of the day program were not given any documentation for the pills and did not administer. The pills were properly destroyed.
Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegations are 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 Nadia Roop and Appeal rights were given.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
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 3
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
01/25/2026 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20260125210427

FACILITY NAME:ESPECIALLY YOU ASSISTED LIVING, INC.FACILITY NUMBER:
126803939
ADMINISTRATOR:POPA-ROOP, NADIAFACILITY TYPE:
740
ADDRESS:12 HENDERSON STREETTELEPHONE:
(707) 443-8838
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:15CENSUS: 10DATE:
03/03/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nadia RoopTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
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5
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8
9
Staff are not providing adequate food service for resident
Staff do not assist resident with getting dressed.
INVESTIGATION FINDINGS:
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13
At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Nadia Roop and reviewed records. Based on records reviewed and interviews conducted, LPA was not able to find sufficient evidence to support the above allegations. LPA reviewed menus and food stores in the facility and found them to meet regulation standards. Interviews conducted showed R1 had days when they would not cooperate with staff and would refuse meals. LPA reviewed documents and observed R1 would refuse assistance with care tasks and would sometimes attempt to assault staff. Documents showed staff would try different approaches and different staff, but R1 would still refuse care.

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: 03/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 21-AS-20260125210427
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: ESPECIALLY YOU ASSISTED LIVING, INC.
FACILITY NUMBER: 126803939
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/04/2026
Section Cited
CCR
87465(H)(2)
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87465 Incidental Medical and Dental Care:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on interviews conducted
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Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit
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Licensee did not ensure medication was not accessible to residents. Medications were left in a residents room accessible. This poses an immediate Health, Safety or Personal Rights risk to persons in care.
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Type A
03/04/2026
Section Cited
CCR
87465(a)(4)
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87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure medications were given per physician orders.
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Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit
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Medications were marked as given, but were given to the day program to administer where they were not given as there was no documentation included. 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: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3