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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216804066
Report Date: 11/04/2025
Date Signed: 11/04/2025 04:05:27 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
10/06/2025 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20251006090647
FACILITY NAME:BLUFFS AT HAMILTON HILL, THEFACILITY NUMBER:
216804066
ADMINISTRATOR:LOMELI. LISA MFACILITY TYPE:
740
ADDRESS:1 HAMILTON HILL DRIVETELEPHONE:
(415) 889-8026
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:95CENSUS: 81DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jose Acumabig, Executive DirectorTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff are not ensuring that facility is maintained in a sanitary condition
Staff are not ensuring that resident's hygiene needs are being met while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/04/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegations. LPA arrived and met with Executive Director, Jose Acumabig. During the investigation, LPA conducted interviews, reviewed documents and made observations.

Compliant alleges, staff are not ensuring that facility is maintained in a sanitary condition and staff are not ensuring that resident's hygiene needs are being met while in care.

Based upon LPAs observations, LPA conducted a walk through of facility, including two elevators, common areas, chairs and four floors, including memory care that is located on floor one and two. LPA did not observe any feces or foul odors that would indicate the facility is not in sanitary condition and resident's hygiene needs are not being met. Facility was found to be clean and odor free as well as resident rooms.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
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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