125000579-5-27-2025-21-AS-KMOA-DJ8LST-20250703090112

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 125000579
Report Date: 05/27/2025
Date Signed: 05/27/2025 10:12:34 AM

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
05/27/2025 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20250527083330

FACILITY NAME:	TIMBER RIDGE AT EUREKA		FACILITY NUMBER:	125000579
ADMINISTRATOR:	FARNUM, LARONA		FACILITY TYPE:	740
ADDRESS:	2740 TIMBER RIDGE LANE		TELEPHONE:	(707) 443-3000
CITY:	EUREKA	STATE: CA	ZIP CODE:	95503
CAPACITY:	75	CENSUS: 59	DATE:	05/27/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Larona Farnum		TIME COMPLETED:	10:25 AM

ALLEGATION(S):

1
2
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9

Unlawful eviction
Reporting Requirements

INVESTIGATION FINDINGS:

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13

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegations. LPA met with Executive Director Larona Farnum and reviewed records. Based on records reviewed and interviews conducted, Licensee issued an eviction notice to R1 and copies to responsible party on 03/26/2025, with a final date of 04/25/2025. Licensee provided a 14 day extension on 04/04/2025, to allow R1 additional time to find a new location. The extension letter stated that 05/16/2025 will be the new eviction date. A review of the eviction notice showed it meets Title 22 requirements and copies were provided to the Resident, Family and the Department within timelines provided. Licensee understands they must file a notice with the court in order to pursue further eviction procedures.

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

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberley Mota	TELEPHONE: (619) 318-8094
LICENSING EVALUATOR NAME: Christopher Arnhold	TELEPHONE: (707) 588-5084
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2025

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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