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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 210102765
Report Date: 09/16/2025
Date Signed: 09/16/2025 01:42:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/29/2025 and conducted by Evaluator Shannan Hansen
COMPLAINT CONTROL NUMBER: 21-AS-20250529094224
FACILITY NAME:CEDARS OF MARIN ROSS CAMPUS, THEFACILITY NUMBER:
210102765
ADMINISTRATOR:ANDERSON, STACYFACILITY TYPE:
735
ADDRESS:115 UPPER ROADTELEPHONE:
(415) 454-5310
CITY:ROSSSTATE: CAZIP CODE:
94957
CAPACITY:55CENSUS: 49DATE:
09/16/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Rodric Robinson, Director of Residential ServicesTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Care and Supervison-resident in care inappropriately touched another resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hansen arrived unannounced to deliver complaint investigation findings regarding the above allegation. LPA was greeted by staff who contacted, Director of Residential Services, Rodric Robinson.

Facility staff did not prevent resident from inappropriately touching another resident in care. It was reported that on 5/27/2025 allegations that a client (C2) inappropriately touched another client against their wishes. During the course of this investigation observations were made, documents were obtained, and 5 staff, 2 client, and 3 outside party interviews were conducted. C1’s & C2’s care plans were obtained indicating neither are one on one. Interview with Administrator and Director of Residential Services revealed there had been a relationship between the two months prior but it ended and they remained amicable. Interview also revealed C1 also has a history of false allegation and attention seeking behavior, also per individual service plan (ISP).
Continue on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
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 2
Control Number 21-AS-20250529094224
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: CEDARS OF MARIN ROSS CAMPUS, THE
FACILITY NUMBER: 210102765
VISIT DATE: 09/16/2025
NARRATIVE
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Continued from LIC9099

Law Enforcement conducted an investigation which indicated C1’s conservator declined further investigation and suspended their investigation, LPA obtained a copy of the Ross Valley Police Departments narrative report. Interview with C1 indicated incident happened at day program contradictory to C2’s statement the incident occurred in C1’s room. Interviews with staff (S3 & S4) revealed they did not have prior knowledge of incident and believed it happened somewhere else and that C1 & C2 have now been separated from being together most of the time. None of staff interviewed indicated they were aware of the incident until after law enforcement informed. Facility has separated both clients from riding the same bus, sitting at same dining table, separated some of clients days of day programs, made all staff aware of situation and are conducting more checks on clients, and replaced couch on 2nd floor landing with hard chairs in Peterson Hall. LPA’s interviews with parties revealed conflicting information of the incident. There was not enough evidence to prove a violation occurred. Therefore, the allegation Facility staff did not prevent resident from inappropriately touching another resident in care is Unsubstantiated.

A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Shannan Hansen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2