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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804394
Report Date: 03/17/2026
Date Signed: 03/17/2026 12:30:42 PM

Document Has Been Signed on 03/17/2026 12:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:ARIA CARE HOME @ SANDERSFACILITY NUMBER:
486804394
ADMINISTRATOR/
DIRECTOR:		MALARI, CRISTINAFACILITY TYPE:
740
ADDRESS:2444 SANDERS LANETELEPHONE:
(707) 310-8020
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 6CENSUS: 0DATE:
03/17/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Rogie Mallari & Cristina Mallari co-licensee and administratorTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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At approximately 09:45 AM, Licensing Program Analyst (LPA) Star Stevenson arrived ANNOUNCED to conduct a Pre-licensing Facility Inspection with applicant. Facility has both a Dementia Care and infection control plan on file.

Facility has fire clearance for 6 residents with capacity to care for 4 non-ambulatory residents, 2 bedridden residents and has a hospice waiver for 2 residents. Room 1 is cleared for ambulatory residents, rooms 3,4, 5 are cleared for non-ambulatory residents and bedroom #2 is cleared for a bedridden resident.

Facility has locking pantry for food and sharps, it was recommended to consider use of electronic door knob to make compliance easy for all staff. In addition, facility has locking draws in the hallway to garage for toxins and other supplies that might pose a risk to residents in care.

Grab bars and nonskid mats were present. Licensee was advised that community cloth towels are not permitted in shared bathrooms. Hot water temperature in resident's bathrooms were found to be 141F and licensee was advised that water temperatures for resident use must be maintained between 105-120F and licensee immediately turned their water heater down.

Medications will be centrally stored and locked in living room cabinets.

Kitchen appliances, utensils, and food preparation areas are in good condition. Seven day supply of non-perishable food was present. Facility has two (2) fire extinguishers that are charged and last inspected 11/2025 and licensee was asked to mount each fire extinguisher in a prominent location for emergences.
Continued on LIC809C
NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Star Stevenson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: ARIA CARE HOME @ SANDERS
FACILITY NUMBER: 486804394
VISIT DATE: 03/17/2026
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Continued from LIC809
Combination smoke and carbon monoxide detectors were tested and found to be centrally wired and operational. Facility has a large gas generator for use in emergencies.

Windows, doors, walls, ceilings, screens, paint, and furniture are in good condition.

Facility features a very large flat patio and well built patio covering to provide shade and sun for residents in care. Side fence has an operational latch and fences are in good repair. A plastic shed was observed to have hardware and other supplies with a functional combination lock to secure.

Bathroom #2 is missing grab bars over the bathtub and along the toilet.

Based on the findings during this inspection the following items require completion before licensee:
Facility will need to install grab bars at bathtub and along toilet in bathroom number 2.

Applicant agrees to complete items by Friday March 20th and will send LPA photo proof of completion. Upon completion of installation, the application will be submitted for final approval of license to the Licensing Program Manager.

Applicant was advised of the requirement to notify licensing once they receive their first resident in care and will need to submit evidence of appropriate Liability Insurance once they accept their first resident.

Facility does not plan to manage P&I money at this time.

Component III orientation was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations.

Report was reviewed with licensee, whose signature denotes approval.

NAME OF LICENSING PROGRAM MANAGER: Bethany Moellers
NAME OF LICENSING PROGRAM ANALYST: Star Stevenson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2026
LIC809 (FAS) - (06/04)
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