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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 03/18/2025
Date Signed: 03/18/2025 10:37:47 AM

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
01/07/2025 and conducted by Evaluator David Leibert
COMPLAINT CONTROL NUMBER: 21-AS-20250107102659
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: 159DATE:
03/18/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Morgan WhineryTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not properly notify resident or representative of rate increase.
Licensee did not ensure facility cleanliness was maintained.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Leibert arrived unannounced and met with Administrator for the purpose of delivering findings on this complaint. During the course of the investigation, statements were taken, documents reviewed and unannounced site visits made to facility. The following determinations are made: LPA observed copies of documents on file for Resident (R1), dated 6/28/2024; The documents observed provide notice of rate increase and level of care methodology which became effective 09/01/2024; The documents show they were provided to R1; This was also confirmed during interviews with the Administrator; The documents observed comply with regulations governing the rate increase notifications; Records in facility file are ambiguous with regards to the status of a Representative for R1 and LPA has not been able to verify a POA for R1. Unannounced visits for this complaint on 1/13, 2/11, 2/21/25 and the annual inspection of 2/20/25 by LPA Hansen found facility to be clean and sanitary, including bathrooms and dining room. Although the allegations may be true, base on statements, documents, and observations, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.
Report left.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
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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