440708773-2-6-2026-26-AS-CKAI-DR5UGG-20260209143418

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 440708773
Report Date: 02/06/2026
Date Signed: 02/06/2026 12:54:58 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/18/2025 and conducted by Evaluator Marcella Tarin

COMPLAINT CONTROL NUMBER: 26-AS-20251218155721

FACILITY NAME:	DOMINICAN OAKS		FACILITY NUMBER:	440708773
ADMINISTRATOR:	KATHERINE WILL		FACILITY TYPE:	740
ADDRESS:	3400 PAUL SWEET ROAD		TELEPHONE:	(831) 462-6257
CITY:	SANTA CRUZ	STATE: CA	ZIP CODE:	95065
CAPACITY:	142	CENSUS: 48	DATE:	02/06/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator Amy Saulnier		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not maintain a comfortable temperature for resident.
Staff did not ensure resident’s right to participate in care decisions.
Staff did not ensure resident was treated with dignity and respect.
Staff did not follow infection control protocols.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced complaint investigation visit and met with Administrator (ADM) Amy Saulnier. LPA stated the purpose of the visit.

On 12/18/2025 the Department received a complaint with the above allegations. On 12/22/2025, LPA David Marrufo conducted the initial complaint investigation visit and interviewed 5 Staff (S1 to S5) and 4 Residents (R1 to R4). 5 Out of 5 staff state residents have a thermostat in his/her own room and can adjust room temperature to their preference. S1 states he/she checks room temperatures during a resident room check.

4 out 4 Residents (R1 to R4) state he/she has a thermostat in his/her room and he/she can adjust to his/her preference.

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Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

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 26-AS-20251218155721

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: DOMINICAN OAKS	FACILITY NUMBER: 440708773
	VISIT DATE: 02/06/2026

NARRATIVE

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On 12/22/2025 LPA Marrufo inspected 3 random residents rooms and took the temperature measurements with a range from 71.6F to 86F.

Staff did not ensure resident’s right to participate in care decisions.

On 12/22/2025, LPA David Maruffo interviewed 5 Staff (S1 to S5) and 4 Residents (R1 to R4). 5 Out of 5 staff state residents participate in his/her care decisions.

4 Out of 4 Residents (R1 to R4) state he/she participates in his/her own care decisions. R2 states that the facility moved him/her into the ‘basement’ without explanation. R2 resides on the first level of the facility in Assisted Living. Review of the facility sketch, the facility does not have a basement.

Based on review of R2’s physicians report dated 6/5/2024, for Capacity for Self-Care, R2 does not require assistance with bathing, toileting, dressing, feeding and can manager his/her own cash resources.

Review of R1's Admission Agreement dated 7/1/2024, R2 moved into the facility on 7/1/2024 in Independent Living.

Staff did not ensure resident was treated with dignity and respect.

On 12/22/2025, LPA David Maruffo interviewed 5 Staff (S1 to S5) and 4 Residents (R1 to R4). 5 Out of 5 staff state residents are treated with dignity and respect.

3 Out of 4 Residents (R1 to R4) state staff treat him/her with dignity and respect. R2 states “I am a shock to many residents and staff.” R2 did not provide additional information regarding this statement.

On 2/6/2026 the Department reviewed 4 staff training records for 2025, and observed training topics to include but not limited to patients rights and safety, residents rights, and infection control.

Staff did not follow infection control protocols.

On 12/22/2025, LPA David Maruffo interviewed 5 Staff (S1 to S5) and 4 Residents (R1 to R4). 5 Out of 5 staff state he/she is following infection control protocols, such as wearing gloves when providing care to residents.

4 Out of 4 Residents (R1 to R4) state staff are following infection control protocols, and wear gloves when providing care to residents.

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SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20251218155721

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: DOMINICAN OAKS	FACILITY NUMBER: 440708773
	VISIT DATE: 02/06/2026

NARRATIVE

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On 2/6/2026 the Department reviewed 4 staff training records for 2025, and observed training topics to include but not limited to patients rights and safety, residents rights, and infection control.

This agency has investigated the complaint alleging staff did not maintain a comfortable temperature for resident, staff did not ensure resident’s right to participate in care decisions. staff did not ensure resident was treated with dignity and respect. Staff did not follow infection control protocols. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with Administrator Amy Saulnier and a copy of this report was provided.

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END OF REPORT

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

LIC9099 (FAS) - (06/04)

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