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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 05/29/2025
Date Signed: 05/30/2025 08:11:37 AM

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
05/19/2025 and conducted by Evaluator Ali Deniz
COMPLAINT CONTROL NUMBER: 21-AS-20250519145314
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: 173DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Business Office Director, Tony IbarraTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are not following the general food service requirements
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Deniz and Hansen arrived unannounced to initiate a Complaint Investigation regarding the above allegation and were able to deliver findings. LPAs met with Director of Business, Tony Ibarra as Administrator, Morgan Whinery was unavailable.

During the course of the investigation, the Department made observations and conducted interviews with staff and residents. There is an allegation of "Staff are not following the general food service requirements.” The complainant alleges that “dining menus are posted but changed daily without notice, being false advertisement." LPAs conducted a walkthrough of facility kitchen and dining area and found required menu postings were visible for residents on kitchen door, tables and hand-outs. Interviews with 3 kitchen staff revealed there are prefixed menus with specials and additions. Facility submits food order to supplier that sometimes does not deliver all of what was ordered. On these days, the food staff will have a pre huddle regarding the changed items so they can relay to resident’s alternative options when ordering their meals.

Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Ali Deniz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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-20250519145314
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: VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE
FACILITY NUMBER: 486803806
VISIT DATE: 05/29/2025
NARRATIVE
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Continued from LIC9099...

Staff informed last minute menu changes happening due to ordered items not being delivered only occurs once or twice a month.
One of three residents interviewed stated items on the menu not being available happen more often than not and then the alternatives are also not available. Although, 2 other residents interviewed had conflicting information indicating this seldom happens and there are substitutes. There is differing information obtained in the investigation regarding the allegation that “staff are not following the general food service requirements”. There was no information obtained that supported that a violation had occurred.

Based on the interviews conducted and observations made, and related information obtained during the investigation, the allegation “Staff are not following the general food service requirements” is UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited.

Exit interview conducted. Copy of report discussed and provided to the Administrator. The signature on the form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Ali Deniz
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2