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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126804144
Report Date: 05/20/2025
Date Signed: 05/20/2025 09:50:34 AM

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
05/16/2025 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20250516151458
FACILITY NAME:REDWOOD R AND RFACILITY NUMBER:
126804144
ADMINISTRATOR:CRAVEN, HEATHERFACILITY TYPE:
740
ADDRESS:3231 DOLBEER STTELEPHONE:
(707) 444-2076
CITY:EUREKASTATE: CAZIP CODE:
95503
CAPACITY:14CENSUS: 12DATE:
05/20/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Shadie AragonTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not repositioning resident overnight resulting in injury
Facility staff are leaving residents soiled for an extended period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegations. LPA met with House Manager Shadie Aragon and reviewed records. Based on records reviewed and interviews conducted, Resident, R1, is able to reposition themselves in bed. R1 needs assistance with transfers and some with mobility. There are no orders to assist with turning or repositioning in bed. Facility keeps a daily communication report that documents how often residents are to be checked on and details which staff assisted resident with bathroom and showers. LPA reviewed records and observed facility was in constant communication with R1's physician regarding swelling and blisters on their left arm. R1 was seen at the Hospital on 05/12/2025 and was presribed antibiotics. LPA reviewed daily communication logs and observed residents are checked every 2-3 hours and assisted with personal needs as they arise. Based on records reviewed, LPA did not find evidence to support the above allegations.
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: 05/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025
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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