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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216800418
Report Date: 06/24/2026
Date Signed: 06/24/2026 03:07:02 PM

Substantiated


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
05/27/2026 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20260527090244
FACILITY NAME:BROWN HOUSEFACILITY NUMBER:
216800418
ADMINISTRATOR:ANTYON LIGGINSFACILITY TYPE:
735
ADDRESS:36 BROWN DRIVETELEPHONE:
(415) 892-8972
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:6CENSUS: 5DATE:
06/24/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Administrator, Krysteena BriceTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Facility staff did not prevent client from eloping
INVESTIGATION FINDINGS:
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On 06/24/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Administrator, Krysteena Brice. During the investigation, LPA conducted interviews, reviewed documents and made observations.

Compliant alleges, Facility staff did not prevent client from eloping. Community Care Licensing (CCL) received three special incident reports (SIR) involving client (C1) eloping from facility on the following dates; 05/19/2026, 05/21/2026, and 05/25/2026. SIR one states on 05/19/2026 around 1:00 AM, staff conducted routine room checks and confirmed that C1 was present. Then shortly at 1:20 AM, while staff were assisting another resident, it was discovered that the emergency exit door in that residents room was wide open and staff went to check on C1 and found that C1 was no longer in their bed. SIR two states on 05/21/2026 at approximately 1:30 AM, staff went upstairs to conduct a routine check and discovered that C1s bedroom door was open and C1 was not in their bed. Additionally, the fire escape door in another clients room was found to be open.

continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
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 3
Control Number 21-AS-20260527090244
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: BROWN HOUSE
FACILITY NUMBER: 216800418
VISIT DATE: 06/24/2026
NARRATIVE
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SIR three states on 05/25/2026 at approximately 4:45 AM staff discovered that C1 had exited the building through an emergency door in another residents room. Interview with Administrator stated that all three times C1 eloped, they eloped from the same emergency exit door and prior to C1’s elopement, C1 would deactivate the doors alarm system. Per C1’s physician’s report dated 3/25/2026, C1 is unable to leave the facility unassisted. Per C1’s admission agreement on page 13 and 14 under current behavioral concerns it outlines elopement and agitation with behavior triggers for elopement being transition times and working with new staff. On page 14 it states under Safety/Risk Management Needs that C1 needs oversight due to elopement.

Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Division 6, Chapter1 is being cited on the attached LIC 9099D. Appeal rights given.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20260527090244
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: BROWN HOUSE
FACILITY NUMBER: 216800418
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/25/2026
Section Cited
CCR
80078(a)
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80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. Based on interview and record review, the licensee did not comply with the section cited above as facility.....
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Administrator agrees to schedule training with all care staff on client supervision. Training date shall be submitted to CCL by 06/24/2026. Proof of completed training shall be submitted to CCL by 07/10/2026.
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....did not ensure client received supervision resulting in client leaving the facility without staff knowledge which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3