490108000-3-4-2026-21-AS-VBEI-DS2NTG-20260310104444

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 490108000
Report Date: 03/04/2026
Date Signed: 03/04/2026 01:58:56 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
01/12/2026 and conducted by Evaluator Robert Frank

COMPLAINT CONTROL NUMBER: 21-AS-20260112155325

FACILITY NAME:	MC HUGH CARE HOME		FACILITY NUMBER:	490108000
ADMINISTRATOR:	DIZON, JASMINE		FACILITY TYPE:	740
ADDRESS:	1000 GORDON LANE		TELEPHONE:	(707) 545-8213
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95404
CAPACITY:	15	CENSUS: 6	DATE:	03/04/2026
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Rodrigo Gallardo, Caregiver		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Facility is not safeguarding resident’s personal property.

INVESTIGATION FINDINGS:

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At approximately 1:40 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to deliver Complaint findings regarding the above allegation and met Caregiver (CG) Rodrigo Gallardo.

During the course of the investigation LPA conducted multiple facility visits, conducted interviews, collected and reviewed documents.

Complaint alleges facility is not safeguarding resident’s personal property. A witness (witness W1) reported that a client of the facility (client C1) told them that sentimental and valuable personal property was stolen from them at the facility. Witness W1 contacted the Santa Rosa Police Department (SRPD) and asked them to investigate. During their investigation a SRPD Officer went to the facility to interview client C1. The officer reported that client C1 did not want to provide any information.

Continued on 9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 21-AS-20260112155325

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: MC HUGH CARE HOME	FACILITY NUMBER: 490108000
	VISIT DATE: 03/04/2026

NARRATIVE

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...Continued from 9099

During the investigation, LPA conducted two (2) facility visits. During these visits LPA attempted to interview client C1. In both instances, client C1 did not want to provide any information regarding the investigation to the LPA. In both instances client C1 referred the LPA to speak with witness W1 for information pertinent to the investigation. LPA interviewed two (2) staff members (S1 and S2) of the facility. Both S1 and S2 stated that client C1 did not report the alleged theft to them. As client C1 did not wish to speak with the SRPD or with the investigating LPA, the only information the LPA was able to gather was hearsay. So, 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, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited during today's visit.

Exit interview conducted. Copy of report discussed and provided to CG Gallardo. Signature on form confirms receipt of documents.

SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC9099 (FAS) - (06/04)

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