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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 08/28/2025
Date Signed: 08/28/2025 02:33:12 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
07/31/2025 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20250731110242
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: 165DATE:
08/28/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Morgan Whinery, AdministratorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility staff are not adhering to proper food service guidelines
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magdaleno arrived unannounced to continue a Complaint Investigation and deliver findings regarding the above allegations and met with Administrator, Morgan Whinery.


Facility staff are not adhering to proper food service guidelines - Complainant alleges that facility does not ensure all incoming food and beverage products are dated and rotated. During this investigation LPA made observations, reviewed records, and conducted interviews. During tour of kitchen and food storage areas LPA observed that food was labeled, dated, and stored in compliance with Title 22 regulations. LPA observed three slices of cake that were unlabeled and uncovered, upon questioning staff LPA was informed that they were part of the lunch service that was currently being served, and the residents who would receive the cake had not yet finished eating their main course.

Continued LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
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-20250731110242
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: 08/28/2025
NARRATIVE
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Continued from LIC9099...

Interview with Administrator indicated that they check the kitchen daily to ensure kitchen staff are following food service regulations. Photos submitted show food as being properly dated and labeled. However, photo submitted of a tub of hot peppers show they had molded. Accompanying message claimed they had been discarded upon discovery of mold and had not been served to residents. LPA visit on 6/27/2025 for Complaint 21-AS-20250619110058 and subsequent interview with Administrator indicated that facility ensures clean food by maintaining backups of equipment in case repair or replacement is necessary, and all food service staff receive regular in-service training as well as third-party training to ensure knowledge on food safety protocols. Based upon observations, interviews, and record review the department has found that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations/complaint are UNSUBSTANTIATED.

No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2