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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496804203
Report Date: 03/23/2026
Date Signed: 03/23/2026 02:19:07 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
01/05/2026 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20260105122617
FACILITY NAME:SUNSHINE PETALUMA CARE HOMEFACILITY NUMBER:
496804203
ADMINISTRATOR:WHITE, DIANA CAROLINAFACILITY TYPE:
740
ADDRESS:804 ELY SOUTH BLVDTELEPHONE:
(707) 364-7247
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY:6CENSUS: 5DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Roxana Galo, LicenseeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff does not ensure that an adequate food supply is maintained on premises.
Staff does not follow food menu for residents.
INVESTIGATION FINDINGS:
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On 03/23/2026, at approximately 12:15 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct subsequent interviews and deliver complaint investigation findings regarding LIC802 - Complaint Report #21-AS-20260105122617, which was received by Community Care Licensing (CCL) on 01/05/2026 with the above listed allegations. LPA met with Roxanna Galo, Licensee.

On 01/07/2026, LPA obtained documents, made observations, and conducted interviews. During the visit, LPA obtained a copy of the facility's sample menu and observed the facility's food supply which closely matched the meals listed on their sample menu. Both on 01/07/2026 and during today's inspection, LPA observed fresh fruit, vegetables, and protein as well as enough nonperishable food to sustain the residents in care for at least seven days as required per regulation. During both visits, LPA observed facility staff preparing fresh home cooked meals for residents in care.

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

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 2
Control Number 21-AS-20260105122617
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: SUNSHINE PETALUMA CARE HOME
FACILITY NUMBER: 496804203
VISIT DATE: 03/23/2026
NARRATIVE
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Continued from LIC9099...

Based on interviews conducted with Resident 1 (R1) and Resident 2 (R2) on 01/07/2026 and Resident 3 (R3) and Resident 4 (R4) today, all four residents reported being happy with the quality and quantity of the food served in the facility and report that facility makes dietary accommodations for them as needed.

Based on interviews conducted, observations made, and records obtained, the allegations that staff does not follow food menu for residents and staff does not ensure that an adequate food supply is maintained on premises are UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited.

Exit interview conducted with Licensee, whose signature on form confirms receipt of document(s).
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2