<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216804066
Report Date: 02/19/2026
Date Signed: 02/19/2026 02:18:26 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
12/22/2025 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20251222111145
FACILITY NAME:BLUFFS AT HAMILTON HILL, THEFACILITY NUMBER:
216804066
ADMINISTRATOR:RIVERA, MELONFACILITY TYPE:
740
ADDRESS:1 HAMILTON HILL DRIVETELEPHONE:
(415) 889-8026
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:95CENSUS: 85DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Executive Director, Melon RiveraTIME COMPLETED:
02:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not provide adequate food services to residents
Staff does not provide adequate supervision to residents due to lack of staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/19/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings. LPA arrived and met with Executive Director, Melon Rivera. During the course of the investigation, LPA reviewed records, conducted interviews, and made observations.

Compliant alleges, staff does not provide adequate food services to residents and staff does not provide adequate supervision to residents due to lack of staff.

Based upon department record review, observations, and interviews conducted the following determination has been made. Complainant alleged staff does not provide adequate food services to residents stating facility serves breakfast late; resulting in the time dinner is last served until breakfast is served being over 15 hours and staff are not taking the time to sit down with residents to feed them.


Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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 2
Control Number 21-AS-20251222111145
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: BLUFFS AT HAMILTON HILL, THE
FACILITY NUMBER: 216804066
VISIT DATE: 02/19/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 Upon document review of facilities CFL Resident Handbook on page 18, under meals and dining, facility provides breakfast from 7:00am until 9:00am, lunch from 11:30am until 1:30pm, and dinner from 4:30pm until 6:00pm. Interviews conducted with staff show four out of four staff stating breakfast is usually served between 8:00am – 8:30am. Two of four staff stated dinner is usually served between 4:00pm – 5:00pm. Interview with Executive Director revealed there are currently 18 residents in memory care and out of those 18, 4 residents need full assistance with eating as one caregiver will be between two residents assisting them with feeding. Regulation 87555(b)(1) states “not more than fifteen (15) hours shall elapse between the third and first meal. Document review and interviews conducted reveal food services are being conducted within fifteen (15) hours between the third and first meal.

Complaint alleges staff does not provide adequate supervision to residents due to lack of staff resulting in staff leaving residents alone in the common area on 12/07/2025 during the morning. Review of staff’s clock in sheet for 12/07/2025 shows there were five staff for the AM shift (6:30am - 2:30pm) and one additional staff from approximately 9:00am – 5:30pm. LPA reviewed 8 residents needs and service plan, none indicate they need one to one care. LPA was unable to gather enough evidence to support the allegation.

Although the allegations 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.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2