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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 126803254
Report Date: 07/29/2026
Date Signed: 07/29/2026 01:53:40 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
05/19/2026 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20260519121854
FACILITY NAME:ADDIE MEEDOM HOUSEFACILITY NUMBER:
126803254
ADMINISTRATOR:MACHELLEE ALLISONFACILITY TYPE:
740
ADDRESS:1445 PARKWAY DRIVETELEPHONE:
(707) 464-3311
CITY:CRESCENT CITYSTATE: CAZIP CODE:
95531
CAPACITY:63CENSUS: 31DATE:
07/29/2026
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Lucy RussellTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff confiscated resident's call bell/pendant.
Staff did not allow resident visitors.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 10:55AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Interim Administrator Lucy Russell, interviewed staff and reviewed records. During this investigation, LPA reviewed resident call pendant logs and observed resident, R1, utilized the call button several times a day with no apparent gaps in time that would lead a person to believe the button had been removed. Staff interviewed stated they would never take a call button away from a resident since that is how staff are alerted to their need of assistance. LPA reviewed records regarding visitation for resident, R2. LPA observed R2 has a conservator that has utilized their authority to restrict visitors without the conservators permission. The facility has a procedure to follow when someone wished to visit with R2, where permission could be granted by the conservator. Facility followed regulation and conservator wishes by refusing visits for R2 without conservators permission. LPA did not observe any other restrictions on visitors for other residents and observed several visitors during this investigation.
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:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026
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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