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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803806
Report Date: 03/30/2026
Date Signed: 03/30/2026 02:35:23 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
01/09/2026 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20260109125802
FACILITY NAME:VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THEFACILITY NUMBER:
486803806
ADMINISTRATOR:RAMOS, MAYFACILITY TYPE:
740
ADDRESS:3350 CHERRY HILLS COURTTELEPHONE:
(707) 425-3588
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:250CENSUS: 151DATE:
03/30/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jesse Sias, Regional Director of OperationsTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff do not provide resident adequate food service
Staff do not keep the facility free of pest
Staff did not ensure resident's finances were safeguard from visitors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Magdaleno arrived unannounced to continue an Investigation and deliver findings regarding the above allegations and met with Regional Director of Operations, Jesse Sias.

During the course of this investigation LPA reviewed records, conducted interviews, and made observations.

Staff do not keep the facility free of pest – Reporting Party (RP) alleges that ants were observed in residents (R1) room. LPA observed ants in Memory Care first floor hallway bathroom, the kitchen counter of one (1) of three (3) Memory Care resident apartments, and near Assisted Living third floor garbage chute during tour on 1/15/2026. During subsequent visits LPA did not observe ants in these affected areas and LPA observed power washing occurring on the exterior of the building. Interview with management indicated that ants had been reported and pest control had been visiting regularly, the power washing was also a means to combat the ants.
Continued LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
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 3
Control Number 21-AS-20260109125802
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: 03/30/2026
NARRATIVE
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Continued from LIC9099...

Review of Pest Control reports indicated that a third-party pest control has been visiting regularly due to reports of ants. Interview with exterminator indicated that all affected areas had been treated and no new areas had been observed, however, exterminator was still making regular visits. Interview with staff (S1, S2) indicated that they had observed ants and would report them to management as per facility policy.

Staff did not ensure resident's finances were safeguard from visitors – Reporting Party (RP) alleges that the facility allowed resident (R1) to receive visitors with a history of financial abuse without documenting the visit. Interview with R1 responsible party indicated that there was no restraining order or other court ordered action that would prevent R1 from receiving certain visitors, however, these visitors did have a history of theft in regard to R1’s finances. Responsible party also indicated that they have no knowledge of this occurring at this facility but it might have happened. Title 22 87468.1(a)(11) ensures a resident’s rights to a private meeting with their visitors. Management team indicated that visitors are not barred from the facility unless there is a court order, or if the resident states they do not want to meet with the visitor.

Staff do not provide resident adequate food service – Reporting Party (RP) alleges that facility is not encouraging resident (R1) to eat. Interviews with management indicated that care partners/MedTech’s are responsible for dining services in Memory Care. Staff will prompt residents to eat or provide full eating assistance, depending on care plan, and that alternate foods to suit taste will be offered upon refusal to eat. Should refusals continue, an assessment will be conducted to determine if there is an underlying cause. Management also indicated that R1 had their own schedule and would often have meals delivered to them instead of eating in the dining room. Interview with staff (S1) indicated that R1 would occasionally not want to eat at mealtimes and would have food prepared for them at different times, but this was not often. S1 also indicated that staff do not force food upon residents and would listen to their refusals and report them to management.

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 are unsubstantiated.

No deficiencies cited. Exit interview conducted with Regional Director of Operation, whose signature on form confirms receipt.

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

DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
01/09/2026 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20260109125802

FACILITY NAME:VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THEFACILITY NUMBER:
486803806
ADMINISTRATOR:RAMOS, MAYFACILITY TYPE:
740
ADDRESS:3350 CHERRY HILLS COURTTELEPHONE:
(707) 425-3588
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:250CENSUS: 151DATE:
03/30/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jesse Sias, Regional Director of OperationsTIME COMPLETED:
02:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide resident's records upon request to resident's authorized person
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Magdaleno arrived unannounced to continue an Investigation and deliver findings regarding the above allegations and met with Regional Director of Operations, Jesse Sias.

Staff did not provide resident's records upon request to resident's authorized person – Reporting Party (RP) alleges that residents (R1) family or responsible party was not provided records upon request. Interview with R1’s responsible party indicated that they were provided with R1’s records the day they were requested. The department has found that the complaint allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficiencies cited. Exit interview conducted with Regional Director of Operations, whose signature on form confirms receipt.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3