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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801090
Report Date: 01/05/2026
Date Signed: 01/05/2026 05:20:07 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
09/04/2025 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20250904124021
FACILITY NAME:HANNA HOUSE RIDLEYFACILITY NUMBER:
496801090
ADMINISTRATOR:HANNA, DAVIDFACILITY TYPE:
740
ADDRESS:1840 RIDLEY AVENUETELEPHONE:
(707) 591-0980
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:28CENSUS: DATE:
01/05/2026
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Karrie Hanna-Resident Care CoordinatorTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff does not ensure that skilled staff provides care to resident
Staff does not allow residents to possess personal belongings
Staff confines residents to chairs
Staff did not monitor resident for change in condition
Staff do not communicate with responsible party regarding resident's care
Staff did not safeguard a resident's medical information
Staff handles residents in a rough manner
Staff do not assist resident with showering
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Alviso, conducted a complaint investigation,and met with Karrie Hanna, Resident Care Coordinator. Licensee/Administrator David Hanna arrived to meet with the LPA within an hour.

Reporting party alleges that "staff does not ensure that skilled staff provides care to resident, staff does not allow residents to possess personal belongings, staff confines residents to chairs, staff did not monitor resident for change in condition, staff do not communicate with responsible party regarding resident's care, staff did not safeguard a resident's medical information, staff handles residents in a rough manner, staff do not assist resident with showering."

The LPA reviewed resident's (R1) records, including care plan, medical assessment, medications list/Dr's Orders. The LPA reviewed facility records, including medication assistance records for resident (R1). LPA conducted interviews with staff, and other related parties.

Continued on LIC9099C..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
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 5
Control Number 21-AS-20250904124021
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: HANNA HOUSE RIDLEY
FACILITY NUMBER: 496801090
VISIT DATE: 01/05/2026
NARRATIVE
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The investigation revealed that R1 had their blood pressure checks done by resident care coordinator and by some staff. R1 took their blood pressure medication often, and would give the information to the staff, per interviews. Facilities don't have to have medical staff on shift or on all shifts, as it is not a hospital but assisted living for elderly; Facility doesn't have medical staff as part of their program, though RCC is a RN. There was no sufficient information obtained to support that the staff took the resident's blood pressure wrong due to there were no records of blood pressure checks and readings by facility staff, this was not done regularly as needed and required. This was cited as part of the medication deficiency on 11/24/25 of this complaint investigation. There was no information obtained supporting that residents' are not allowed personal belongings, such as cell phones and/or other items. This was investigated recently regarding a separate filed complaint. Per investigation and interviews, there was no information to support that residents are confined to chairs by staff, that staff didn't monitor resident for change in condition. There was no information obtained supporting residents' are handled roughly by staff or that resident's medical information was not safeguarded by staff. There was insufficient information to support violations occurred regarding resident not assisted with showering and/or staff didn't communicate with responsible party regarding resident's care.

Based on LPA's review of records, including medical records, medication records, interviews with staff and other related parties, and related information obtained during the investigation, the allegations of "staff does not ensure that skilled staff provides care to resident, staff does not allow residents to possess personal belongings, staff confines residents to chairs, staff did not monitor resident for change in condition, staff do not communicate with responsible party regarding resident's care, staff did not safeguard a resident's medical information, staff handles residents in a rough manner, staff do not assist resident with showering" are Unsubstantiated, meaning 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.

No deficiencies cited.
Exit interview was conducted with the Administrator David Hanna.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
09/04/2025 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20250904124021

FACILITY NAME:HANNA HOUSE RIDLEYFACILITY NUMBER:
496801090
ADMINISTRATOR:HANNA, DAVIDFACILITY TYPE:
740
ADDRESS:1840 RIDLEY AVENUETELEPHONE:
(707) 591-0980
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:28CENSUS: DATE:
01/05/2026
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Karrie Hanna-Resident Care CoordinatorTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff inappropriately spoke to resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Alviso, conducted a complaint investigation, and met with Karrie Hanna, Resident Care Coordinator. Licensee/Administrator David Hanna arrived to meet with the LPA within an hour.

Reporting party alleges that "staff inappropriately spoke to resident."

The LPA reviewed resident's (R1) records, including care plan, medical assessment, medications list/Dr's Orders. The LPA reviewed facility records, including medication assistance records for resident (R1). LPA conducted interviews with staff, and other related parties. LPA reviewed obtained information from other parties.

The investigation revealed that facility staff, S2, did speak to resident (R1) inappropriately when resident (R1) was not feeling well and requested assistance and help with their needs, including needed medication from staff/S2.

Continued on LIC9099C..
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
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 5
Control Number 21-AS-20250904124021
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: HANNA HOUSE RIDLEY
FACILITY NUMBER: 496801090
VISIT DATE: 01/05/2026
NARRATIVE
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Staff/S2 responded to R1, and provided them a medication pill, but before giving R1 the medication, S2 stated "your family thinks that I am incompetent". R1 is a dependent resident of the facility and this is an inappropriate comment to the resident by facility staff. There is sufficient information obtained to support a personal right's violation occurred.

The deficiency will be cited, 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs, see LIC9099D.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited.
Failure to correct deficiencies by due dates, may result in additional deficiency citations and/or civil penalties being assessed.

Exit interview conducted with the Administrator David Hanna.
Appeal Rights provided.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 21-AS-20250904124021
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: HANNA HOUSE RIDLEY
FACILITY NUMBER: 496801090
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2026
Section Cited
CCR
87468.2(a)(4)
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87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by:
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Licensee/Administrator to ensure that residents' rights are not violated, per regulations. Administrator to ensure they hold an in-service training with all staff regarding "resident rights". Submit proof of training, and plan of future compliance by 1/19/26.
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Per LPA's investigation, resident (R1) was not feeling well and requested assistance and help with their needs, including needed medication from staff/S2. Staff/S2 responded to R1, and provided them a medication pill, but before giving R1 the medication, S2 stated "your family thinks that I am incompetent". R1 is a dependent resident of the facility and this is an inappropriate comment to the resident by facility staff. This is a risk to resident's personal rights.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5