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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803645
Report Date: 04/23/2025
Date Signed: 04/23/2025 05:21:31 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
03/27/2025 and conducted by Evaluator Caitlynn Felias
COMPLAINT CONTROL NUMBER: 21-AS-20250327135736
FACILITY NAME:VACAVILLE MEMORY CAREFACILITY NUMBER:
486803645
ADMINISTRATOR:MCGRANAHAN, JULIETFACILITY TYPE:
740
ADDRESS:431 NUT TREE ROADTELEPHONE:
(707) 449-1350
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:75CENSUS: DATE:
04/23/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Executive Director, Camille Brown, and Regional Director of Operations, Karen EncisoTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Facility staff not meeting hygiene needs of residents
INVESTIGATION FINDINGS:
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During the Office Meeting, Regional Manager, Carla Nuti-Martinez, Licensing Program Manager, Victoria Bertozzi, and Licensing Program Analysts (LPAs) Caitlynn Felias and Ali Deniz delivered findings for this Complaint Investigation regarding the above allegation and met with Executive Director, Camille Brown, and Regional Director of Operations, Karen Enciso.

During the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, “Facility staff not meeting hygiene needs of residents.” Complainant alleged that they visited the facility and observed residents that smelled of urine and had food on their faces or food on their clothes. Complainant stated that it was obvious residents had not been changed or bathed in a long time.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
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-20250327135736
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: VACAVILLE MEMORY CARE
FACILITY NUMBER: 486803645
VISIT DATE: 04/23/2025
NARRATIVE
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Continued from LIC9099

LPAs contacted Complainant who stated they observed these residents at various events where some events occurred right after mealtime. Complainant was unable to provide additional details or information such photos depicting their observations or resident names.

LPAs conducted staff interviews. Staff interviews conducted stated that the number of showers a resident receives is based on their shower schedule. Most residents receive 2 showers per week but that other residents receive 3 showers per week, or daily if it a part of their care plan. Resident laundry is also done twice a week or daily if it is found to be soiled. Interviews conducted also stated that residents will sometimes refuse care or refuse to leave an activity to receive care from facility staff until after the activity is over.

On 04/14/2025, LPAs conducted a facility walkthrough of all 5 homes and the courtyard. LPAs observed the following: residents in each home were observed to be clean and presentable. LPAs did not observe any food on residents or residents to be in dirty clothing. There were no strong odors observed in common areas or bathrooms.

Based on interviews conducted and observations made, this allegation is Unsubstantiated.

A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No Deficiencies Cited during visit.

Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
LIC9099 (FAS) - (06/04)
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