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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 02/11/2025
Date Signed: 02/11/2025 12:19:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/02/2024 and conducted by Evaluator David Leibert
COMPLAINT CONTROL NUMBER: 21-AS-20241202114011
FACILITY NAME:VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THEFACILITY NUMBER:
486803806
ADMINISTRATOR:WHINERY,MORGANFACILITY TYPE:
740
ADDRESS:3350 CHERRY HILLS COURTTELEPHONE:
(707) 425-3588
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:250CENSUS: 164DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Morgan WhineryTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Facility staff are not providing adequate assistance to residents in care.
INVESTIGATION FINDINGS:
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9
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13
Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. Complainant alleges that Memory Care staff have left residents unattended in the dining area and cites a 10 minute period on 11/26/2024 when no staff were present in dining area to assist residents. During the course of this investigation, 4 unannounced site visit were conducted; documents obtained and statements taken. The following determinations are made: An internal poll was taken on 12/5/25 to determine satisfaction with care being provided; 18 of 20 family members of residents questioned responded with positive responses to questions regarding quality of care being given; 5 of 5 staff questioned regarding the supervision provided on 11/26 indicated residents were not left in dining area unattended; Complainant was asked to provide identity of possible witnesses to the allegation but did not provide further information. Although the allegation may be true, or valid, based upon the observations, documents and statements, there is not a preponderance of evidence to prove, or disprove, the allegation. Therefore, the allegation is UNSUBSTANTIATED.
Report left.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
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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