<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803339
Report Date: 10/20/2025
Date Signed: 10/20/2025 05:09:47 PM

Unfounded


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
10/14/2025 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20251014200856
FACILITY NAME:BROOKDALE PAULIN CREEKFACILITY NUMBER:
496803339
ADMINISTRATOR:BRENNER, JEFFREYFACILITY TYPE:
740
ADDRESS:2375 RANGE AVETELEPHONE:
(707) 575-3722
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:100CENSUS: DATE:
10/20/2025
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Wendy Trigueros-Financial Services DirectorTIME COMPLETED:
05:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff financially abused resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 10/20/25, at approximately 4:15pm, and met with Wendy Trigueros, Financial Services Director.
LPA requested records on resident, R1. Wendy Trigueros, notified the LPA that the individual, R1, is not a resident of the facility. R1 is a tenant of the independent living apartment/units, and the licensed facility doesn't provide care services to the independent living tenants/units.

The investigation revealed that R1 is not a resident of the residential care for the elderly licensed facility, #496803339; R1 rents an apartment in the independent living area on the property. The Department has no jurisdiction over the independent living units/apartments. Based on interviews, and information obtained during the investigation, the allegation "facility staff financially abused resident in care" is Unfounded. We have 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 was conducted with Wendy Trigueros, Financial Services Director.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2025
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 1