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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486803806
Report Date: 03/19/2025
Date Signed: 03/19/2025 09:47:41 AM

Document Has Been Signed on 03/19/2025 09:47 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THEFACILITY NUMBER:
486803806
ADMINISTRATOR/
DIRECTOR:		WHINERY,MORGANFACILITY TYPE:
740
ADDRESS:3350 CHERRY HILLS COURTTELEPHONE:
(707) 425-3588
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 250CENSUS: 161DATE:
03/19/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Chair/CEO, Chris Hollister, Co-President/COO, Richard Williams, Regional VP Operations, Erica Ogle, Regional Director of Health & Wellness, Sangeeta Devi, SVP Health & Wellness, Dr. Sandi Petersen, Administrator/ED, Morgan Whinery, QA/Risk Manager, Jay Stowers, and Joel Goldman of HansonBridgett TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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A Non-Compliance Conference (NCC) was conducted today in the Santa Rosa Regional Office. Present in the meeting were, Regional Manager, Carla Nuti-Martinez, Licensing Program Manager, Bethany Moellers, and Licensing Program Analyst (LPA) Shannan Hansen, Licensing Program Analyst (LPA) David Leibert met with Facility: Chair/CEO, Chris Hollister, Co-President/COO, Richard Williams, Regional VP Operations, Erica Ogle, Regional Director of Health & Wellness, Sangeeta Devi, SVP Health & Wellness, Dr. Sandi Petersen, Administrator/ED, Morgan Whinery, QA/Risk Manager, Jay Stowers, and Joel Goldman of HansonBridgett for the purpose of reviewing issues during Non-Compliance Conference.

This office meeting is being conducted to discuss concerns identified by the Community Care Licensing Agency. CCL has investigated 14 complaints in 2024 starting from 6/24/2024 and 6 complaint investigations in 2025 (2 of which have been substantiated) the other 4 are still under investigation. Area of concerns are:



* Personnel Requirements (87411(a)) - staffing numbers, competency, & services (ADLs) to meet residents care needs - 3/6/2025, 12/17/2024, 11/19/2024, 6/20/2024.

* Incidental Medical & Dental (87465(c)(2)) Regarding medication discrepancies/timely - 3/6/2025, 10/29/2024, 10/18/2024, 8/8/2024.

* Personal Rights (87468.1(a)(1)) - Cameras & privacy

* Elopements - (87411(a)) 2/21/2025

* Call bells-response time - 11/19/2025, 11/18/2025

* Facilities future compliance
TSP service: Licensee was informed of and is interested in engagement.
No deficiencies cited during the Non-Compliance Conference.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
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.

LIC809 (FAS) - (06/04)
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