216804183-2-24-2026-21-AS-VBEI-DRQ253-20260227160451

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 216804183
Report Date: 02/24/2026
Date Signed: 02/24/2026 04:15:06 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
02/20/2026 and conducted by Evaluator Christi Coppo

COMPLAINT CONTROL NUMBER: 21-AS-20260220104445

FACILITY NAME:	MEADOW CREEK SENIOR LIVING		FACILITY NUMBER:	216804183
ADMINISTRATOR:	MUELRATH, KELLY		FACILITY TYPE:	740
ADDRESS:	40 MEADOW WAY		TELEPHONE:	(707) 799-1557
CITY:	SAN GERONIMO	STATE: CA	ZIP CODE:	94963
CAPACITY:	6	CENSUS: 5	DATE:	02/24/2026
		UNANNOUNCED	TIME BEGAN:	09:54 AM
MET WITH:	Kelly Muelrath, licensee		TIME COMPLETED:	04:29 PM

ALLEGATION(S):

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Staff do not treat resident with dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with licensee Kelly Muelrath. Licensee had to leave but was available by phone while LPA delivered findings. Caregiver given permission to sign report.

Complaint alleges staff do not treat resident with dignity and respect. Complainant states that resident R2 feels fearful of staff (S1) only at night during their bedtime routine as S1 becomes very controlling and angry when residents don't do exactly what S1 says. Complainant states no physical abuse was reported by R2.

During investigation, LPA conducted interviews and made observations. Facility has five [5] residents in care. LPA interviewed four [4] out of five [5] residents:R1, R2, R3, and R4. Two [2] out of [4] residents report that S1 has yelled at them. R2 reports that S1 jerks residents by the wrist. However, when asked if

Continued on 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

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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Control Number 21-AS-20260220104445

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: MEADOW CREEK SENIOR LIVING	FACILITY NUMBER: 216804183
	VISIT DATE: 02/24/2026

NARRATIVE

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Continued from 9099...

S1 has ever jerked them by the wrist, R2 reports that is something they do not remember..

During investigation, LPA interviewed five [5] out of seven [7] staff. None of the staff interviewed report having witnessed S1 be rough or yell at residents. None of the staff interviewed reported receiving reports from residents of S1 yelling or being rough with them.

During investigation, LPA interviewed five [5] witnesses. All witnesses report being present at the facility at least one time per week, with one witness reporting as much as every other day. Four [4] out of five [5] witnesses report never having observed S1 or any staff yell or be rough with any residents, including their loved one. One [1] witness (W1) reports that it was reported to them that a staff person did yell at a resident, but W1 told LPA that the resident did not give the name of the specific staff person, no name was reported to W1.

So, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Christi Coppo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026

LIC9099 (FAS) - (06/04)

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