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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201273
Report Date: 11/07/2024
Date Signed: 11/07/2024 02:24:32 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2024 and conducted by Evaluator Lori Alexander-Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20241021132808
FACILITY NAME:HEATHERWOOD MEMORY CAREFACILITY NUMBER:
079201273
ADMINISTRATOR:GONZALES, RITCHIEFACILITY TYPE:
740
ADDRESS:1315 MT PISGAH ROADTELEPHONE:
(925) 939-2833
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:32CENSUS: 27DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ritchie Gonzales, Licensee/AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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2
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9
RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of clients in care
INVESTIGATION FINDINGS:
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2
3
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5
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7
8
9
10
11
12
13
On 11/07/2024 at 1:30 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced subsequent complaint visit, to deliver investigation finding of above allegation. LPA met with Licensee/Administrator, Ritchie Gonzales, and explained the purpose of the visit.

During the investigation RSO has been identified as not being present in or associated to facility. This allegation is deemed UNFOUNDED.

This agency has investigated the complaint and have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of this report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Lori Alexander-Washington
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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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