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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 09/25/2025
Date Signed: 09/25/2025 03:29:57 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
08/13/2025 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20250813112258
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: 171DATE:
09/25/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator Morgan WhineryTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Personal Rights
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.

Personal Rights – Reporting Party (RP) alleges that resident (R1) has been placed in facility and memory care without their consent. RP further alleges that R1 does not meet requirements for memory care and is being kept against their wishes without access to communication devices or visitors. During this investigation LPA made observations, reviewed records, and conducted interviews. Review of Admission Agreement indicated that R1 signed their own Admission Agreement without the signature of a responsible party. Review of R1 LIC602 – Physician Report for Residential Care Facilities for the Elderly dated 3/7/2025 indicated that R1 did not have a diagnosis of dementia and is able to leave facility unassisted as well as care for their own Activities of Daily Living (ADLs). Review of Physician’s Change of Capacity letter for R1 dated 8/22/2025 declared that R1 “is incapable of caring for himself/herself and is physically and mentally incapable of managing his/her own financial affairs or making medical decisions”.
Continued LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025
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-20250813112258
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: 09/25/2025
NARRATIVE
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Continued from LIC9099...

Interview with R1 indicated that they do not believe they belong in memory care but are otherwise happy with treatment at the facility. Interviews with Administrator indicated that R1 was initially a resident of Assisted Living and was moved into memory care based on increased behaviors, reassessment, and at the request of R1’s Power of Attorney (POA). Review of R1 POA paperwork indicated that POA is able to make medical decisions, including placement in nursing home, for R1 upon physician declaration of R1 being incapable of making own decisions. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is 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: 09/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2